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Organization
MERCY FAMILY MEDICINE AND WELLNESS CENTER LLC
Active
Organization
MERCY FAMILY MEDICINE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY ROBY APRN (OWNER/APRN)
(270) 304-8184
Entity
Organization
Contact information
Practice address
217 S MULBERRY ST, ELIZABETHTOWN, KY 42701-1430
(270) 304-8184
(502) 265-4318
Mailing address
553 TABB RD, CECILIA, KY 42724-9776
(270) 304-8184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100816430
—
KY
Enumeration date
02/28/2022
Last updated
12/28/2023
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