-- COREENA J BRADLEY -- LPN
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1619257540- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPN
- Status
- Active
Contact & Location
- Address
- 75 YELLOW CREEK RD STE 105, EVANSTON, WY, 829305235
- Phone
- (307) 789-4224
- Fax
- (307) 789-4225
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: WY #245