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

MS. Gwendolyn Bradley

Individual provider Licensed Practical Nurse · NPI 1578005955

MS. Gwendolyn Bradley is a Licensed Practical Nurse in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

294 Kings Ridge Blvd
O Fallon, IL 62269-6330
Phone: (618) 975-3781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043049025 (IL)

Record details

NPI number1578005955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESNovember 16, 2016

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