Provider Demographics
NPI:1518339746
Name:BATTAD, AMOR AQUINO
Entity Type:Individual
Prefix:
First Name:AMOR
Middle Name:AQUINO
Last Name:BATTAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-0979
Mailing Address - Country:US
Mailing Address - Phone:615-575-1080
Mailing Address - Fax:615-575-1084
Practice Address - Street 1:1525 HUNT CLUB BLVD
Practice Address - Street 2:STE 600-A
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6070
Practice Address - Country:US
Practice Address - Phone:615-575-1080
Practice Address - Fax:615-575-1084
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000020236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily