Individual
CHEYENNE MARIE INSPRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-6017
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-6017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4008945
KY
363LA2100X
Acute Care Nurse Practitioner
0034728
OH
363LA2100X
Acute Care Nurse Practitioner
4008945
KY
Other
Enumeration date
09/06/2023
Last updated
09/26/2023
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