Individual
SHANNEN RAE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3124 CHINA FIR PL, SIMI VALLEY, CA 93065-7238
(818) 723-1579
Mailing address
3124 CHINA FIR PL, SIMI VALLEY, CA 93065-7238
(818) 723-1579
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236635
CA
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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