Individual provider · Type 1 NPI

Shannon Bailey-Bradley

Licensed Practical Nurse · Waterloo, NY

NPI number 1346629425 Active

Practice location

119 Stark St
Waterloo, NY 13165-8797

Call (315) 651-1753 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X281747-1 (NY)

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 1346629425

Shannon Bailey-Bradley's National Provider Identifier is 1346629425, issued on May 22, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Waterloo, NY. The record was last updated on May 22, 2015.