Individual provider · Type 1 NPI

Carissa Kay Bradley

Licensed Practical Nurse · Roseville, MN

NPI number 1093012189 Active

Practice location

2800 Cleveland Ave N
Roseville, MN 55113-1126

Call (651) 642-1825 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0701639 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093012189

Carissa Kay Bradley's National Provider Identifier is 1093012189, issued on Feb 25, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseville, MN. The record was last updated on Feb 25, 2011.