Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradford Alan Danley, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1194541995

Mr. Bradford Alan Danley, AGACNP-BC is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Shamloo Blue Sky Treatment Center PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
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Practice location Address checks out

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone: (702) 340-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 884404 (NV)

Record details

NPI number1194541995
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shamloo Blue Sky Treatment Center Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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