Carissa Kay Bradley, - Licensed Practical Nurse in Roseville, MN

Carissa Kay Bradley, is a Licensed Practical Nurse based in Roseville, Minnesota. Carissa Kay Bradley is licensed to practice in Minnesota (license number L0701639) and her current practice location is 2800 Cleveland Ave N, Roseville, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 642-1825.

NPI number for Carissa Kay Bradley is 1093012189 and her current mailing address is 2800 Cleveland Ave N, Roseville, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093012189.

Contact Information

Carissa Kay Bradley,
2800 Cleveland Ave N,
Roseville, MN 55113-1126
(651) 642-1825
Not Available



Provider's Profile

Full NameCarissa Kay Bradley
GenderFemale
SpecialityLicensed Practical Nurse
Location2800 Cleveland Ave N, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093012189
  • Provider Enumeration Date: 02/25/2011
  • Last Update Date: 02/25/2011

Medical Identifiers

Medical identifiers for Carissa Kay Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093012189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L0701639 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carissa Kay Bradley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carissa Kay Bradley,
2800 Cleveland Ave N,
Roseville, MN 55113-1126

Ph: (651) 642-1825
Carissa Kay Bradley,
2800 Cleveland Ave N,
Roseville, MN 55113-1126

Ph: (651) 642-1825

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› Verified 8 days ago


Licensed Practical Nurse Nurses in Roseville, MN

Kim Marie Makousky,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Susan I Mcclelland, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Kathryn Joan Israelson, RN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Maranda Olson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Karah Lin Pendergrass, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    
Rochelle Austin,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Cleveland Ave N, Roseville, MN 55113
Phone: 651-642-1825    

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