Organization · Type 2 NPI
Mag Medical
Family Nurse Practitioner · Hyden, KY
NPI number
1063766012
Active
Practice location
21154 Hwy 421
Hyden, KY 41749
Fax (606) 672-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3006479 (KY) |
Family Nurse Practitioner: Definition to come...
About NPI 1063766012
Mag Medical's National Provider Identifier is 1063766012, issued on Oct 30, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hyden, KY. The record was last updated on Oct 30, 2012.