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NPI Code Detail

MEDICARE: MS. SHEILA DIANE BRADLEY FNP

MEDICARE: MS. SHEILA DIANE BRADLEY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP129764TX
2363LF0000XFamily Nurse PractitionerAP129764TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730182890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA DIANE BRADLEY FNP
Provider Business Mailing Address
First Line : 15603 HOWELL GROVE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2277
Country : US
Telephone Number : 908-519-2293
Fax Number :
Provider Business Practice Location Address
First Line : 7401 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4509
Country : US
Telephone Number : 713-799-2300
Fax Number : 833-520-1440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/13/2025

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Directions to “ MS. SHEILA DIANE BRADLEY FNP” Practice Location

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