Individual
GRACE RUNIONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-4299
(606) 337-1128
Mailing address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-4299
(606) 337-1128
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009552
KY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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