Laura Ivonne Bradley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95256200 Issued in CA

Practice address

30 Hunter LN
Camp Hill, PA 17011-2400

Phone

(800) 748-3243

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Laura Ivonne Santillan Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1558032250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 BOTHWELL AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242506",
            "telephone_number": "909-953-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112400",
            "telephone_number": "800-748-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LAURA",
        "middle_name": "IVONNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95256200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SANTILLAN PEREZ",
            "middle_name": "IVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanmarie O Bowman, CRNA
• Judith B Bowman, PT
• Laurie Ann Boyle, LPC
• Jerry Bradbury, RN
• Erin Marie Bradley, PA-C
• Stacey Lynn Bradney, CRNP
• Barbara Brandt, CNM
• Kim Brandtonies, CRNA
• Kathy Marie Branson, RN
• Navdeep Kaur Brar

• Registered Nurse in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.