Active NPIIndividual provider

Ms. Tanaeya Bradley, NP

Nurse Practitioner in Willingboro, New Jersey

NPI Number1992404610
Practice location
4318 US 130, Willingboro, NJ 08046
Fax
—
Last updated
August 5, 2025

Tanaeya Bradley is a Nurse Practitioner based in Willingboro, NJ. Tanaeya Bradley practices in Willingboro, NJ and has the professional credentials of NP. The NPI Number for Tanaeya Bradley is 1992404610 and holds a License No. 26NJ01437400 (NJ). The current practice location address for Tanaeya Bradley is 4318 US 130, Willingboro, NJ 08046 and can be reached out via phone at 609-871-2045.

Provider Profile Details

NPI Number
1992404610
Provider Name
Tanaeya Bradley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4318 US 130, Willingboro, NJ 08046
Phone Number
609-871-2045
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2023
Last Update Date
August 5, 2025
Certification Date
July 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4318 US 130
Willingboro, NJ 08046
Zip
08046
Phone Number
609-871-2045
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
Po Box 95
Willingboro, NJ 08046-0095
City
Willingboro
State
NJ
Zip
08046-0095

License Information

License Number
26NJ01437400
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Tanaeya Bradley, NP?

The NPI number of Ms. Tanaeya Bradley, NP is 1992404610. It was assigned on March 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Ms. Tanaeya Bradley, NP?

Ms. Tanaeya Bradley, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ01437400.

Where does Ms. Tanaeya Bradley, NP practice?

The practice location is 4318 US 130, Willingboro, NJ 08046. The office can be reached at 609-871-2045 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992404610 directly on the NPPES registry website.

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