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ANTA L BRADLEY L.V.N.
NPI 1083962203
Licensed Vocational Nurse in Moreno Valley, CA

Active since August 20, 2012
11417 BRIGHT STAR TRL, MORENO VALLEY, CA 92557(951) 490-5943 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anta L Bradley L.v.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTA L BRADLEY L.V.N. (NPI 1083962203) is an individual licensed vocational nurse in Moreno Valley, California, licensed in California (180873) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1083962203
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameANTA L BRADLEYCredential: L.V.N.
Location Address11417 BRIGHT STAR TRLMoreno Valley, CA 92557-5617
Mailing Address11417 Bright Star TrlMoreno Valley, CA 92557-5617 · (951) 490-5943
Phone(951) 490-5943
Sole ProprietorYes
Enumeration DateAugust 20, 2012
✔ NPI 1083962203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 180873
Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

11417 BRIGHT STAR TRL, Moreno Valley, CA 92557
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Frequently Asked Questions

What is Anta Bradley's NPI number?

The NPI number assigned to this healthcare provider is 1083962203, enumerated as an "individual" on August 20, 2012.

Where is the provider located?

The provider is located at 11417 BRIGHT STAR TRL MORENO VALLEY, CA 92557 and the phone number is (951) 490-5943.

What is the provider's specialty?

Licensed Vocational Nurse with taxonomy code 164X00000X.