TIA PATRICE BRAXTON

LOUISVILLE, KY
NPI1548988645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3018206)
Enumeration Date2022-08-16
Last Update Date2022-08-19
Business Address
TIA PATRICE BRAXTON
6540 OUTER LOOP STE 6
LOUISVILLE, KY 40228-2000
Phone number: 502-255-1925
Mailing Address
TIA PATRICE BRAXTON
8813 ARISTIDES DR
LOUISVILLE, KY 40258-1735
Phone number: 502-999-2855
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