Individual provider · Type 1 NPI

Tangelina Bradley, LPN

Licensed Practical Nurse · Belleville, IL

NPI number 1801787874 Active

Practice location

900 Royal Heights Rd
Belleville, IL 62226-5457

Call (618) 882-6805 Map

Fax (618) 744-7781

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043122158 (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 1801787874

Tangelina Bradley, LPN's National Provider Identifier is 1801787874, issued on Jul 9, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Belleville, IL. The record was last updated on Jul 9, 2025.