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Organization
YOUTHFUL ESSENCE MEDICAL CENTER, PLLC
Active
Organization
YOUTHFUL ESSENCE MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH POTTER ARNP (PRESIDENT)
(606) 743-1600
Entity
Organization
Contact information
Practice address
1412 KY-7, WEST LIBERTY, KY 41472
(606) 743-1600
(606) 743-2220
Mailing address
842 HUTCHINSON RD, WEST LIBERTY, KY 41472-2032
(606) 743-1600
(606) 743-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3285P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78004843
—
KY
Enumeration date
11/06/2007
Last updated
12/30/2021
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