Provider Demographics
NPI:1699062455
Name:BRADEN, NATALIE D (MSN FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:D
Last Name:BRADEN
Suffix:
Gender:F
Credentials:MSN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 257
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-0257
Mailing Address - Country:US
Mailing Address - Phone:816-500-5052
Mailing Address - Fax:
Practice Address - Street 1:6365 LEWIS DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3699
Practice Address - Country:US
Practice Address - Phone:816-746-4755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008887041.268525363LF0000X
MO2012007364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily