Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Kay Bradley

Individual provider Licensed Practical Nurse · NPI 1093012189

Carissa Kay Bradley is a Licensed Practical Nurse in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
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Practice location Address checks out

2800 Cleveland Ave N
Roseville, MN 55113-1126
Phone: (651) 642-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L0701639 (MN)

Record details

NPI number1093012189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2011
Last updated in NPPESFebruary 25, 2011

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