National Provider Identifier

Niki Bradway, LPN

Niki Bradway, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 215-6007.

NPI 1912506007Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1912506007
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 20, 2020
Last Updated
October 20, 2020

Practice Location

  • 1011 Oak St
  • Elmira, NY 14901-1600

Phone: (607) 215-6007

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912506007
Entity Type
Individual
Last Name
Bradway
First Name
Niki
Credential
LPN
Provider Other Last Name
Sindoni
Provider Other First Name
Niki
Provider Other Last Name Type Code
1
Mailing Street Address
1011 Oak St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1600
Mailing Country
US
Mailing Phone
(607) 215-6007
Practice Street Address
1011 Oak St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1600
Practice Country
US
Practice Phone
(607) 215-6007
Enumeration Date
October 20, 2020
Last Updated
October 20, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
October 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)