Organization · Type 2 NPI
Marshall County Family Medical Center Nurse Practitioner Group
Family Nurse Practitioner · Benton, KY
NPI number
1659554079
Active
Practice location
145 Vine St # 569
Benton, KY 42025-7472
Mailing address
145 Vine St, PO Box 569
Benton, KY 42025-7472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4072P (KY) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Benton
About NPI 1659554079
Marshall County Family Medical Center Nurse Practitioner Group's National Provider Identifier is 1659554079, issued on Dec 7, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Benton, KY. The record was last updated on Dec 7, 2007.