Organization · Type 2 NPI
Main Street Clinic, LLC
Family Nurse Practitioner · Cumberland, KY
NPI number
1477930246
Active
Practice location
900 E Main St
Cumberland, KY 40823-1714
Mailing address
PO Box 320
Cumberland, KY 40823-0320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3008624 (KY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Cumberland
About NPI 1477930246
Main Street Clinic, LLC's National Provider Identifier is 1477930246, issued on Apr 30, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cumberland, KY. The record was last updated on May 2, 2016.