Shameitha Shanta Bradford, LPN
Licensed Practical Nurse in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1720104599
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720104599
- Entity type
- Individual (NPI-1)
- Name
- Shameitha Shanta Bradford
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 240779 | LA | Yes |
Practice location
3843 Harding BlvdBaton Rouge, LA 70807-5224
Phone 225-359-9315 · Fax 225-359-9326
Mailing address
3843 Harding BlvdBaton Rouge, LA 70807-5224
Phone 225-359-9315 · Fax 225-359-9326
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All 67 Licensed Practical Nurse providers in Baton Rouge · All 16,776 providers in Baton Rouge
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