Organization · Type 2 NPI
Hanging Fork Primary Care PLLC
Family Nurse Practitioner · Hustonville, KY
NPI number
1699176495
Active
Practice location
1075 US Hwy 127 N
Hustonville, KY 40437
Mailing address
56 Carl Russell Street
Hustonville, KY 40437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1699176495
Hanging Fork Primary Care PLLC's National Provider Identifier is 1699176495, issued on Sep 11, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hustonville, KY. The record was last updated on Sep 11, 2014.