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Individual
MS. SHANNON BRADLEY
Active
Individual
MS. SHANNON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666347
TX
163WC0400X
Case Management Registered Nurse
666347
TX
163WD0400X
Diabetes Educator Registered Nurse
666347
TX
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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