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

Shannon Bailey-Bradley

Individual provider Licensed Practical Nurse · NPI 1346629425

Shannon Bailey-Bradley is a Licensed Practical Nurse in Waterloo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

119 Stark St
Waterloo, NY 13165-8797
Phone: (315) 651-1753
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 281747-1 (NY)

Record details

NPI number1346629425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 22, 2015
Mailing address119 Stark St, Waterloo, NY 13165

Other providers in Waterloo