| Doctor Name: | TINA BRADEN |
| NPI Number: | 1346605227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN0000171294 |
| Business Practice Address: | 403 E G St Elizabethton, TN - 376433223 |
| Business Phone Number: | 4235432521 |
| Business Fax Number: | 4235437348 |
| Mailing Address: | 403 E G St, ELIZABETHTON |
| State: | TN |
| Postal Code: | 376433223 |
| Phone Number: | 4235432521 |
| Fax Number: | 4235437348 |
| NPI Enumeration Date: | 12/21/2015 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN0000171294 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |