Earniecia Mae Bradley, LPN | |
100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005-1271 | |
(314) 485-9575 | |
Not Available |
Full Name | Earniecia Mae Bradley |
---|---|
Gender | Female |
Speciality | Home Health |
Location | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891432175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2022015958 (Missouri) | Secondary |
251E00000X | Home Health | 2022015958 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Earniecia Mae Bradley, LPN 2927 Willow Creek Estates Dr, Florissant, MO 63031-1665 Ph: (314) 283-2415 | Earniecia Mae Bradley, LPN 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005-1271 Ph: (314) 485-9575 |
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