Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. GWENDOLYN BRADLEY
ActiveMS. GWENDOLYN BRADLEY is a Licensed Practical Nurse healthcare provider located in O FALLON, Illinois. NPI 1578005955 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · O FALLON, IL
Registration Details
- NPI Number
- 1578005955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2016 (9.7651270513853 yrs)
- Last Updated
- Nov 16, 2016
- License
-
043049025 (IL)
Practice Information
- Address
-
294 KINGS RIDGE BLVDO FALLON, IL, 622696330Browse IL providers · Browse ZIP 62269
- Phone
- 6189753781
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| TERESA HARRIS | — | 1164801197 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.