Taryna Bradley, DNP, RN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Plymouth, IN
NPI 1972488005 · NPPES record last updated Aug 7, 2025
Key facts
- NPI
- 1972488005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28254119A (IN)
- Practice address
- 2855 Miller Dr Ste 205
Plymouth, IN 46563-8093 - Phone
- (317) 505-1115
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28254119A | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28254119A | IN | Yes |
Addresses
Primary practice location
2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Mailing address
5647 W Woodview TRL
McCordsville, IN 46055-6202
Phone (765) 914-2727
Other providers in Plymouth, IN
- Nicole B Bolinger
- Candie Books
- Michael Edward Borden
- Bottorff Chiropractic Clinic Inc
- Benjamin Bower
- Julie Marie Brandy
- Brian S. Baird OD PC
- Rebecca M Brice
- Brighter Tomorrows Inc.
- Kristen Brown
All providers in Plymouth, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.