Healthcare Provider Details

I. General information

NPI: 1316180144
Provider Name (Legal Business Name): BRADEN M BUTTERFIELD MCKINLEY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8888 KEYSTONE XING STE OFC1382
INDIANAPOLIS IN
46240-4609
US

IV. Provider business mailing address

1359 S RANDOLPH ST
GARRETT IN
46738-1970
US

V. Phone/Fax

Practice location:
  • Phone: 888-998-7337
  • Fax:
Mailing address:
  • Phone: 260-357-0077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number28159267A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71002917A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: