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GERIATRIC NURSE PRACTITIONER SERVICES LLC NPI 1184890535


NPI Information

NPI: 1184890535
Provider Name: GERIATRIC NURSE PRACTITIONER SERVICES, LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
6652 WATERFORD PL
OWENSBORO, KY
ZIP 42303
Phone: (270) 929-9971
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GERIATRIC NURSE PRACTITIONER SERVICES, LLC is a gerontology nurse practitioner in Owensboro, KY. GERIATRIC NURSE PRACTITIONER SERVICES, LLC NPI is 1184890535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6652 WATERFORD PL
OWENSBORO, KY
ZIP 42303-235
Phone: (270) 929-9971
Fax: (270) 281-4009

The provider's authorized official is Lola Faye Houston .
The authorized official title is Gerontological Nurse Practitioner and has the following contact phone number (270) 929-9971.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyARNP 2129PKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P48161MEDICARE UPIN
2ARNP 2129POTHERKENTUCKYLICENSE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.