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NPI 1639858608

NPI 1639858608 : BRAYDEN FERNANDEZ PA-C : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1639858608
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    Entity Type          |    Individual 
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    Provider Name        |    BRAYDEN FERNANDEZ PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/17/2023
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    322 22ND AVE N STE 400 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-1870
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    Country              |    US
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    Telephone            |    615-320-5090
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    Fax                  |    615-320-1225
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Provider Business Mailing Address
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    Address Line         |    2004 HAYES ST STE 800 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-2659
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    Country              |    US
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    Telephone            |    615-329-0570
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    Fax                  |    615-329-0579
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    6165
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    License Number State |    TN
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