COREENA J BRADLEY LPN
NPI 1619257540
Licensed Practical Nurse in Evanston, WY

Active since August 23, 2011
75 YELLOW CREEK RD, STE 105, EVANSTON, WY 82930(307) 789-4224(307) 789-4225 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coreena J Bradley Lpn NPPES

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

COREENA J BRADLEY LPN (NPI 1619257540) is an individual licensed practical nurse in Evanston, Wyoming, licensed in Wyoming (245) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1619257540
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCOREENA J BRADLEYCredential: LPN
Location Address75 YELLOW CREEK RD, STE 105Evanston, WY 82930-5235
Mailing Address75 Yellow Creek Rd, Ste 105Evanston, WY 82930-5235 · (307) 789-4224 · Fax (307) 789-4225
Fax(307) 789-4225
Sole ProprietorNo
Enumeration DateAugust 23, 2011
NPI 1619257540 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 WY · 245
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.
75 YELLOW CREEK RD, Evanston, WY 82930

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
75 YELLOW CREEK RD, SUITE 202
EVANSTON, WY 82930
Counselor (Professional)
75 YELLOW CREEK RD, SUITE 105
EVANSTON, WY 82930
Clinic/Center (Federally Qualified Health Center (FQHC))
75 YELLOW CREEK RD
EVANSTON, WY 82930
Nurse Practitioner
75 YELLOW CREEK RD, SUITE 202
EVANSTON, WY 82930
Family Medicine
75 YELLOW CREEK RD, SUITE 102
EVANSTON, WY 82930
Nurse's Aide
75 YELLOW CREEK RD, STE 105
EVANSTON, WY 82930
Clinic/Center (Federally Qualified Health Center (FQHC))
75 YELLOW CREEK RD, SUITE 102
EVANSTON, WY 82930
Physician Assistant
75 YELLOW CREEK RD, SUITE 102
EVANSTON, WY 82930

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 Coreena Bradley's NPI number?

The NPI number for Coreena Bradley is 1619257540. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Coreena Bradley located?

Coreena Bradley practices at 75 Yellow Creek Rd Ste 105, Evanston, WY 82930. The listed phone number is (307) 789-4224.

What is Coreena Bradley'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 Coreena Bradley was last updated on August 23, 2011. 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.