Provider Demographics
NPI:1487898201
Name:BAXTER, BRENDA KATHRYN (ANP-BC)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:KATHRYN
Last Name:BAXTER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 W MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3786
Mailing Address - Country:US
Mailing Address - Phone:615-591-4750
Mailing Address - Fax:615-591-4748
Practice Address - Street 1:639 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4226
Practice Address - Country:US
Practice Address - Phone:615-591-4750
Practice Address - Fax:615-591-4748
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14075363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health