Individual
LINDA RENEE BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4960 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241-2831
(000) 000-0000
Mailing address
2316 BROOKVIEW DR, JEFFERSONVILLE, IN 47130-8902
(502) 741-3574
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000213879
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3013040
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021823
—
IN
05
—
7100583290
—
KY
Enumeration date
10/17/2018
Last updated
08/31/2020
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