Provider Demographics
NPI:1124794581
Name:BRADFORD, DARIAN IMAN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:IMAN
Last Name:BRADFORD
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 AIRPORT FWY STE 525
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3254
Mailing Address - Country:US
Mailing Address - Phone:817-522-1530
Mailing Address - Fax:817-523-8667
Practice Address - Street 1:860 AIRPORT FWY STE 525
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3254
Practice Address - Country:US
Practice Address - Phone:817-522-1530
Practice Address - Fax:817-523-8667
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX927328163W00000X
TX1050536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse