Organization · Type 2 NPI

Tri State Nephrology PSC

Nurse Practitioner · Ashland, KY

NPI number 1215085170 Active

Practice location

432 16th St, Suite B
Ashland, KY 41101-7693

Fax (606) 324-6383

Mailing address

PO Box 2468
Ashland, KY 41105-2468

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4797P (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215085170

Tri State Nephrology PSC's National Provider Identifier is 1215085170, issued on Jan 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ashland, KY. The record was last updated on Jun 16, 2008.