institution
Tia Braxton, Aprn, Pmhnp-bc, Pllc
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1134821945

Tia Braxton, Aprn, Pmhnp-bc, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Louisville, KY and is specialized in Psychiatric/Mental Health. Tia Braxton, Aprn, Pmhnp-bc, Pllc practices in Louisville, KY. The NPI Number for Tia Braxton, Aprn, Pmhnp-bc, Pllc is 1134821945 and holds a License No. (Kentucky).

The current practice location address for Tia Braxton, Aprn, Pmhnp-bc, Pllc is 6540 Outerloop Ste 6, Louisville, KY and can be reached out via phone at 502-999-2855 and via fax at 502-416-1493.

Location: 6540 Outerloop Ste 6, Louisville, KY, 40258-1735
institution
Provider Profile Details
NPI Number
1134821945
Provider Name
Tia Braxton, Aprn, Pmhnp-bc, Pllc
Credential
Provider Entity Type
Organization
Address
6540 Outerloop Ste 6, Louisville, KY, 40258-1735
Phone Number
502-999-2855
Fax Number
502-416-1493
Provider Enumeration Date
03/17/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100840510 05 KY
institution
Provider Business Practice Location Address Details
Address
6540 Outerloop Ste 6
City
State
Zip
40228
Phone Number
502-999-2855
Fax Number
502-416-1493
person
Provider Business Mailing Address Details
Address
6540 Outerloop Ste 6
City
State
Zip
40228
Phone Number
502-999-2855
Fax Number
502-416-1493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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