Individual provider · Type 1 NPI
Shadel Bradford, LPN
Licensed Practical Nurse · Rochester, NY
NPI number
1508274838
Active
Practice location
839 Flower City Park
Rochester, NY 14615-3624
Mailing address
63 Allandale Dr
Rochester, NY 14624-2052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 10 315653 (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 1508274838
Shadel Bradford, LPN's National Provider Identifier is 1508274838, issued on Jul 30, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Jul 7, 2025.