Crystal Dale APRN

NPI 1548576937 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1548576937
Gender Female
Enumeration Date 08/24/2010
Last Updated 01/23/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
740 S LIMESTONE ST
LEXINGTON KY, 40536-0284, US
Phone (859) 323-8082
Fax (859) 323-2441
Business Location
740 S LIMESTOME E101
LEXINGTON KY, 40536-0284, US
Phone (859) 323-8082
Fax (859) 323-2441
Toxanomy
Taxonomy Code 363LF0000X
License State Kentucky
License Number 3006490
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According to our database, Crystal Dale APRN NPI is 1548576937, taxonomy code is 363LF0000X and license number is 3006490, license state is located at Kentucky. Crystal Dale APRN physically located at 740 S Limestone St, Lexington KY, 40536-0284. NPI Number Crystal Dale APRN has the Individual type.

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1548576937 NPI number is provided on an as is basis without warranty of any kind. 1548576937 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Dale APRN are for informational purposes only.