Individual
TAYLOR BRIDENBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BACK VALLEY RD, OLIVER SPRINGS, TN 37840-3120
(865) 274-1940
Mailing address
501 BACK VALLEY RD, OLIVER SPRINGS, TN 37840-3120
(865) 274-1940
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
86484
TN
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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