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Individual

DEBRA J ANSINELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2483 HIGHWAY 644, SUITE 103, LOUISA, KY 41230-9242
(606) 638-9954
(606) 638-3595
Mailing address
PO BOX 2380, ASHLAND, KY 41105-2380
(606) 324-4745
(606) 326-0165

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4245P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2231196
OH
05
78011475
KY
05
9600053000
WV
Enumeration date
10/18/2005
Last updated
02/08/2013
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