=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861617870
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN LOUISE BRADY R,N.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 425 5TH AVE N CORDELL HULL BLDG. 1ST FLOOR CEDS
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37243-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-532-8486
-----------------------------------------------------
Fax | 615-532-5902
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1021 DORRIS WINTERS RD
-----------------------------------------------------
City | CHAPMANSBORO
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37035-5110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-945-7093
-----------------------------------------------------
Fax | 615-741-3857
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WI0600X
-----------------------------------------------------
Taxonomy Name | Infection Control Registered Nurse
-----------------------------------------------------
License Number | RN0000071030
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------