DOLPHIN HILLS FAMILY HEALTHCARE NPI 1114596095

NPI Information

NPI: 1114596095
Provider Name: DOLPHIN HILLS FAMILY HEALTHCARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 18D2228950

Address:
3046 DOLPHIN DR STE 100
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 268-5036
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DOLPHIN HILLS FAMILY HEALTHCARE is a family nurse practitioner in Elizabethtown, KY. DOLPHIN HILLS FAMILY HEALTHCARE NPI is 1114596095. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3046 DOLPHIN DR STE 100
ELIZABETHTOWN, KY
ZIP 42701-182
Phone: (270) 268-5036

The provider's authorized official is Melissa Baumgardner .
The authorized official title is Practice Co-owner and has the following contact phone number (270) 268-5036.

The CLIA number assigned to this NPI record is 18D2228950 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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