Individual provider · Type 1 NPI
Krystal K. Bradford
Licensed Practical Nurse · St. Louis, MO
NPI number
1376012138
Active
Practice location
157 Signal Hill Dr
St. Louis, MO 63121-1219
Mailing address
915 N Grand Blvd
St. Louis, MO 63106-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2016037826 (MO) |
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 1376012138
Krystal K. Bradford's National Provider Identifier is 1376012138, issued on Nov 21, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 21, 2018.