Individual provider · Type 1 NPI

Domenic Bradley

Licensed Practical Nurse · Columbus, OH

NPI number 1225597685 Active

Practice location

16 W Long St
Columbus, OH 43215-2815

Mailing address

1337 Barnett Rd
Columbus, OH 43227-2202

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.167573.MEDS-IV (OH)

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 1225597685

Domenic Bradley's National Provider Identifier is 1225597685, issued on Mar 15, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbus, OH. The record was last updated on Mar 15, 2019.