Faith Yvonne Bradley, RN
Individual provider Active NPI Registered Nurse · Danville, WV
NPI 1154044717 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1154044717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 71611 (WV)
- Practice address
- 298 Tricorn Rd
Danville, WV 25053-7148 - Phone
- (304) 369-1385
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71611 | WV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Memorial Homecare, LLC | Current |
Accepting new patients |
Locations
298 Tricorn Rd
Danville, WV 25053
Phone (304) 369-1385
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 71611 | WV | Yes |
Addresses
Primary practice location
298 Tricorn Rd
Danville, WV 25053-7148
Mailing address
298 Tricorn Rd
Danville, WV 25053-7148
Phone (304) 369-1385
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop/Tablet | ||
| CONNECT URL | desktop/tablet |
Other providers in Danville, WV
- Cassandra Booth
- Kara Booth
- Kayley Bowe
- Kyerston Bowman
- Megan Lynn Boyd
- Rosa R Brammer
- April Branham
- Chasity Brewer
- Laura Brewer
- Megan Brogan
All providers in Danville, WV · Registered Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.