MRS. HANNAH MARIE BRADEN


Address: 421 Wallace Ave, Rocky Top, TN 37769-2637
Phone: 4232013572

MRS. HANNAH MARIE BRADEN (NPI# 1265916241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265916241
Entity Type Individual
Full Name MRS. HANNAH MARIE BRADEN
Other Name HANNAH MARIE RUSSELL
Credential APRN
Practice Address 421 Wallace Ave
Rocky Top
TN 37769-2637
Practice Telephone 4232013572
Enumeration Date 2018-09-17
Last Update Date 2018-09-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
APN0000024715 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APN0000024715 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 421 WALLACE AVE
City ROCKY TOP
State TN
Zip Code 37769-2637

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NPI Name Taxonomy Address Enumeration
1609090265 Sheila Marie Sparks Occupational Therapist 204 Industrial Park Road, Lake City, TN 37769 2007-04-12
1285793653 Marks Pharmacy Pharmacy 106 Creek St, Lake City, TN 37769 2006-12-08
1154417996 David Carl Dew Pharmacist 414 S. Main Street, Lake City, TN 37769 2006-10-05
1144775206 April Freeman Registered Nurse 110 Industrial Park Ln, Rocky Top, TN 37769 2016-08-18
1235322181 Mark Thomas Smith Physician Assistant 106 Creek St, Lake City, TN 37769 2007-08-23
1467645986 Marks Pharmacy Durable Medical Equipment & Medical Supplies 106 Creek St, Lake City, TN 37769 2007-08-20
1316958986 Corner Drug Co Inc Pharmacy 414 Main St, Lake City, TN 37769 2006-08-10
1487635348 Ronald E. Noe Dentist 305 S Main St, Lake City, TN 37769-2206 2005-11-08
1811523582 Melanie Ann Ward Dental Hygienist 305 S Main St, Rocky Top, TN 37769-2206 2020-03-13
1104100064 Leslie Denise Holmes-leach Dentist 305 S Main St, Rocky Top, TN 37769-2206 2011-10-10
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1376158998 Mary L Dean Turner Nurse Practitioner 6727 Stonetrace Dr, Bartlett, TN 38135-3054 2020-09-10
1205447794 Sana Pathan Nurse Practitioner 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 2020-08-10
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Competitor

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City ROCKY TOP
Zip Code 37769

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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