Erika Kristie Bradway, LPN

Individual provider Active NPI Licensed Practical Nurse · Red Hook, NY

NPI 1447543947 · NPPES record last updated Jan 2, 2014

Key facts

NPI
1447543947
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
283354-1 (NY)
Practice address
4 Kent Rd
Red Hook, NY 12571-1609
Phone
(845) 339-6683
NPI assigned
May 17, 2011
Sex
Female
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

LicenseStateTypeSpecialty
283354-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 283354-1 NY Yes

Addresses

Primary practice location

4 Kent Rd
Red Hook, NY 12571-1609

Mailing address

4 Kent Rd
Red Hook, NY 12571-1609

Other providers in Red Hook, NY

All providers in Red Hook, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.