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MAYA MIKKIA BRADFORD LPN
NPI 1346895646
Licensed Practical Nurse in Rock Island, IL

Active since August 05, 2019
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2031 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maya Mikkia Bradford Lpn NPPES

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

MAYA MIKKIA BRADFORD LPN (NPI 1346895646) is an individual licensed practical nurse in Rock Island, Illinois, licensed in Iowa (P63115) and active in the NPI registry since August 2019. She maintains a secondary practice location in Davenport.

NPPES Registry Identity

NPI1346895646
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMAYA MIKKIA BRADFORDCredential: LPN
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351 · (309) 779-2031
Phone(309) 779-2031
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1346895646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IA · P63115
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2701 17TH ST, Rock Island, IL 61201
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Secondary Practice Location 1

Location 19537 12160 utah avenueDavenport, IA 52804 · Phone (563) 326-1150

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. QUANG TUNG NGUYEN M.D.
Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3100
ARTHESIAN TILLERY
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
DEEPTA SHANKAR ATRE STRAND M.D.
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
DANIELLE JILLIAN WADDLE LMSW
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
ALEXIA SWIFT
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
SAMANTHA GOMAN
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
MRS. KRISTINE KEAN RN
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
BRITTANY MICHELLE REDMOND
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000

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 Maya Bradford's NPI number?

The NPI number for Maya Bradford is 1346895646. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Maya Bradford located?

Maya Bradford practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-2031.

What is Maya Bradford's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Maya Bradford was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.