NPI 1114486743
Lisa Charisee Bradley, REGISTEREDNURSE
Practice location
- Address
- 4135 Holman Ln, Saint Louis, MO 63134-3925
- Phone
- (314) 479-6121
- Fax
- (314) 479-6121
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1114486743
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2019
- Record last updated
- 13 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.