Braddy, Shirley A

Braddy, Shirley A is an individual health care provider with primary practice located at 2920 Veterans Memorial Dr , Mount Vernon IL 62864-5924. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Braddy, Shirley A can be contacted via phone (618) 244-6544.

Contact Information

Primary practice address
2920 Veterans Memorial Dr Mount Vernon IL 62864-5924
Fax: (618) 244-6577
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043068030 Illinois

Profile Details

NPI number 1750659546
LBN Legal business name Braddy, Shirley A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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