Individual
TERRI HUNT AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1320 ANDREA ST, BOWLING GREEN, KY 42104
(270) 746-5455
(270) 746-5688
Mailing address
103 CARROLL RD, MORGANTOWN, KY 42261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4731P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489598
ANTHEM BC/BS
KY
01
—
7100028630
MEDICAID GROUP
KY
05
—
78018199
—
KY
Enumeration date
03/29/2006
Last updated
04/24/2008
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