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1134821945
TIA BRAXTON, APRN, PMHNP-BC, PLLC
LOUISVILLE, KY
NPI
1134821945
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Entity Type
Organization
Authorized Contact
TIA PATRICE BRAXTON
Owner
502-999-2855
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-03-17
Last Update Date
2023-12-04
Business Address
TIA BRAXTON, APRN, PMHNP-BC, PLLC
6540 OUTERLOOP STE 6
LOUISVILLE, KY 40228
Phone number: 502-999-2855
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Mailing Address
TIA BRAXTON, APRN, PMHNP-BC, PLLC
8813 ARISTIDES DR
LOUISVILLE, KY 40258-1735
Phone number:
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