Edna Jean Pence CNM

NPI 1073616017 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1073616017
Gender Female
Enumeration Date 09/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1115 WOODLAND DR
ELIZABETHTOWN KY, 42701-2749, US
Phone (270) 769-5963
Fax (270) 769-9051
Business Location
1115 WOODLAND DR
ELIZABETHTOWN KY, 42701-2749, US
Phone (270) 769-5963
Fax (270) 769-9051
Toxanomy
Taxonomy Code 363LX0001X
License State Kentucky
License Number 386M
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According to our database, Edna Jean Pence CNM NPI is 1073616017, taxonomy code is 363LX0001X and license number is 386M, license state is located at Kentucky. Edna Jean Pence CNM physically located at 1115 Woodland Dr, Elizabethtown KY, 42701-2749. NPI Number Edna Jean Pence CNM has the Individual type.

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1073616017 NPI number is provided on an as is basis without warranty of any kind. 1073616017 is maintained by the National Plan & Provider Enumeration System. The contents of Edna Jean Pence CNM are for informational purposes only.