Individual
KENESHA BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(225) 405-7441
Mailing address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP07550
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374575
—
LA
Enumeration date
09/08/2014
Last updated
12/12/2014
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