ANDREA TACKETT

EDGEWOOD, KY
NPI1114648060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3016680)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: KY  301668)
Enumeration Date2022-09-08
Last Update Date2022-11-03
Business Address
ANDREA TACKETT APRN
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-4000
Mailing Address
ANDREA TACKETT APRN
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-2237