NPI 1619257540
Coreena J Bradley, LPN
Practice location
- Address
- 75 Yellow Creek Rd STE 105, Evanston, WY 82930-5235
- Phone
- (307) 789-4224
- Fax
- (307) 789-4225
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1619257540
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Aug 2011
- Record last updated
- 23 Aug 2011
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.