Bradley Pisko, LPN
Individual provider Active NPI Licensed Practical Nurse · Conway, MA
NPI 1235544917 · NPPES record last updated Jun 21, 2014
Key facts
- NPI
- 1235544917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN90848 (MA)
- Practice address
- 199 Hoosac Rd
Conway, MA 01341-9794 - Phone
- (413) 441-2843
- NPI assigned
- Jun 21, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN90848 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN90848 | MA | Yes |
Addresses
Primary practice location
199 Hoosac Rd
Conway, MA 01341-9794
Mailing address
199 Hoosac Rd
Conway, MA 01341-9794
Phone (413) 441-2843
Other providers in Conway, MA
- Mary Catherine Clayton-Jones
- Mary Katherine Deyo
- Linda S Dugas
- Karen Eldred
- Jean Franklin
- Ellen Berger Rainville
- Daniel Sheff
- Viki W Storm
- Town of Conway
- Town of Conway
All providers in Conway, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2014. 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.