Individual
ANDREA BAZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 101, PADUCAH, KY 42003-7914
(270) 441-4357
Mailing address
225 MEDICAL CENTER DR, SUITE 101, PADUCAH, KY 42003-7914
(270) 441-4357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009330
KY
Other
Enumeration date
04/06/2015
Last updated
12/10/2020
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