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NPI Code Detail

MEDICARE: TRACY C. BALDRIDGE APRN

MEDICARE: TRACY C. BALDRIDGE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN12246TN
2363LN0005XCritical Care Neonatal Nurse PractitionerAPN12246TN
3363LN0000XNeonatal Nurse PractitionerAPN12246TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162-0476822OTHERTNTAX ID

General Provider Information

NPI Number : 1134250665
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY C. BALDRIDGE APRN
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-5100
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 06/19/2023

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