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

Q: What is Anta Bradley's NPI number?

The NPI number for Anta Bradley is 1083962203. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Q: What is Anta Bradley's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Anta Bradley was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 23, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anta Bradley's NPI number?

The NPI number for Anta Bradley is 1083962203. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Anta Bradley located?

Anta Bradley practices at 11417 Bright Star Trl, Moreno Valley, CA 92557. The listed phone number is (951) 490-5943.

What is Anta Bradley's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Anta Bradley was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.