Individual
COVA TERESA STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1895 ELIZABETHTOWN RD., LEITCHFIELD, KY 42754-9138
(270) 230-0182
(270) 230-0014
Mailing address
1895 ELIZABETHTOWN RD., LEITCHFIELD, KY 42754-9138
(270) 230-0182
(270) 230-0014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006909
KY
Other
Enumeration date
05/10/2011
Last updated
07/08/2011
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