| NPI | 1235670639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PURSIFULL Fnp/Owner Manager 606-269-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1117450) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |