Individual provider · Type 1 NPI
Branden Wayne Raider, RN
Emergency Registered Nurse · Louisville, KY
NPI number
1326809104
Active
Practice location
5913 Eldorado Ave
Louisville, KY 40291-1350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 1159821 (KY) |
Emergency Registered Nurse: Definition to come...
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About NPI 1326809104
Branden Wayne Raider, RN's National Provider Identifier is 1326809104, issued on Jan 19, 2024. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Louisville, KY. The record was last updated on Jan 19, 2024.