LISA CHARISEE BRADLEY REGISTERED NURSE NPI 1114486743

NPI Information

NPI: 1114486743
Provider Name: LISA CHARISEE BRADLEY, REGISTERED NURSE
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
4135 HOLMAN LN
SAINT LOUIS, MO
ZIP 63134
Phone: (314) 479-6121
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Lisa Charisee Bradley, REGISTERED NURSE is a homemaker in Saint Louis, MO. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Lisa Charisee Bradley, REGISTERED NURSE NPI is 1114486743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4135 HOLMAN LN
SAINT LOUIS, MO
ZIP 63134-925
Phone: (314) 479-6121
Fax: (314) 479-6121

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376J00000X	Homemaker			MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	431921811	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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