Log Mountain Family Healthcare Llc Valid NPI

Organization · Family Nurse Practitioner · Pineville, KY

NPI

1972536324

Type

Organization (Type 2)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

3004305 (KY)

Enumerated

2006-07-09

Last updated

2014-04-23