BRANDEN WAYNE RAIDER RN
NPI 1326809104
Registered Nurse - Emergency in Louisville, KY
Active since January 19, 2024
About Branden Wayne Raider Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDEN WAYNE RAIDER RN (NPI 1326809104) is an individual emergency provider in Louisville, Kentucky, licensed in Kentucky (1159821) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1326809104
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameBRANDEN WAYNE RAIDERCredential: RN
Location Address5913 ELDORADO AVELouisville, KY 40291-1350
Mailing Address5913 Eldorado AveLouisville, KY 40291-1350 · (859) 559-5194
Phone(859) 559-5194
Sole ProprietorYes
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1326809104 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in KY · 1159821
5913 ELDORADO AVE, Louisville, KY 40291
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326809104, enumerated as an "individual" on January 19, 2024.
The provider is located at 5913 ELDORADO AVE LOUISVILLE, KY 40291 and the phone number is (859) 559-5194.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
