Individual
SEON HUI BALISTRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1724 KENTON ST STE 1B, HOPKINSVILLE, KY 42240-1981
(270) 886-8840
Mailing address
1724 KENTON ST STE 1B, HOPKINSVILLE, KY 42240-1981
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3018423
KY
363LG0600X
Gerontology Nurse Practitioner
3018423
KY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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