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NPI Code Detail

MEDICARE: LISA BRADY RN

MEDICARE: LISA BRADY RN
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
1163WS0200XSchool Registered NurseRN.29912OH

General Provider Information

NPI Number : 1851268361
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BRADY RN
Provider Business Mailing Address
First Line : 200 VIKING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1138
Country : US
Telephone Number : 513-864-2070
Fax Number :
Provider Business Practice Location Address
First Line : 200 VIKING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1138
Country : US
Telephone Number : 513-864-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/20/2025

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Directions to “ LISA BRADY RN” Practice Location

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