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Contact Information

SHANNON BRADLEY, RN
1601 E LAMAR BLVD STE 209
ARLINGTON, TX76011-4464
 Phone: 817-766-6030
 Fax: 817-766-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Case Management

163WC0400X
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for SHANNON BRADLEY · (Female)

NPI Number 1679263305
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/08/2023
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 666347
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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