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Active NPI 1619257540 Individual Practitioner Female Practitioner

Coreena J Bradley , LPN

Licensed Practical Nurse • Evanston, WY

Professional Overview & Biography Verified Profile Summary

Coreena Bradley, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Evanston, WY. Practice services are available at 75 YELLOW CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 Yellow Creek Rd
Ste 105

Evanston, WY 829305235

Telephone 3077894224
Fax 3077894225
Associated Practice Facility / Clinic
🏢 Uinta Urgent Care Facility NPI 1023177375

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Evanston, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Evanston, WY (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WY 245

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carly Latimer

Counselor - Addiction (Substance Use Disorder)

NPI 1013380948
Kylie Osterling

Counselor - Addiction (Substance Use Disorder)

NPI 1013503317
Mackenzie Riebennacht

Community Health Worker

NPI 1033481908
Michelle Collins

Community Health Worker

NPI 1043582067
Tara Prete

Social Worker

NPI 1053064501
Tina Chandler

Case Manager/Care Coordinator

NPI 1053247981

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2011

Registered at 75 YELLOW CREEK RD, STE 105, EVANSTON, WY 829305235 (Tel: 3077894224)

📍
Updated Business Mailing Address August 23, 2011

Registered at 75 YELLOW CREEK RD, STE 105, EVANSTON, WY 829305235 (Tel: 3077894224)

👤
Provider Name / Credentials Updated August 23, 2011

Recorded as COREENA BRADLEY, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2011

Licensed Practical Nurse (License #245 in WY)

🟢
Initial NPI Registration & Enumeration August 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619257540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2011
Last Update: August 23, 2011
Sole Proprietor: No

Mailing Address

75 Yellow Creek Rd, Ste 105

Evanston, WY 829305235

Phone: 3077894224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.