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Individual

EMILY ANN SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
10650 US ROUTE 60, ASHLAND, KY 41102-9611
(606) 408-6301
(606) 408-6350
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11673-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3006494
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3080606
OH
05
3810018387
WV
05
7100127370
KY
01
P00873780
RR MEDICARE
KY
01
P01050730
RR MEDICARE
OH
Enumeration date
08/16/2010
Last updated
05/06/2015
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