Provider Demographics
NPI:1457626764
Name:BAIRD, PRYOR VESTER (NP)
Entity Type:Individual
Prefix:
First Name:PRYOR
Middle Name:VESTER
Last Name:BAIRD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 ALCOA HWY STE B300
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1505
Mailing Address - Country:US
Mailing Address - Phone:865-305-9799
Mailing Address - Fax:
Practice Address - Street 1:1928 ALCOA HWY STE B300
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1505
Practice Address - Country:US
Practice Address - Phone:865-305-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16246363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health