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Organization

MT WASHINGTON PEDIATRICS PLLC

Active
Other names
Mt Washington Pediatrics PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA ANDERSON APRN (OWNER)
(502) 617-4068
Entity
Organization

Contact information

Practice address
138 EASTBROOKE CT UNIT 115, MOUNT WASHINGTON, KY 40047-5570
(502) 617-4068
Mailing address
138 EASTBROOKE CT UNIT 115, MOUNT WASHINGTON, KY 40047-5570
(502) 617-4068

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/11/2023
Last updated
04/03/2025
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