Individual provider · Type 1 NPI

Shirley A. Braddy, LPN

Licensed Practical Nurse · Mount Vernon, IL

NPI number 1750659546 Active

Practice location

2920 Veterans Memorial Dr
Mount Vernon, IL 62864-5924

Fax (618) 244-6577

Mailing address

PO Box 155
Christopher, IL 62822-0155

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043068030 (IL)

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 1750659546

Shirley A. Braddy, LPN's National Provider Identifier is 1750659546, issued on Dec 7, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Dec 7, 2011.