Individual
ERIN LYNN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(270) 846-4800
(270) 846-4828
Mailing address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(270) 846-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30750
TN
363LF0000X
Family Nurse Practitioner
Primary
4001253
KY
363LP2300X
Primary Care Nurse Practitioner
4001253
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4001253
KY APRN LICENSE
KY
05
—
7100895680
—
KY
Enumeration date
12/08/2021
Last updated
02/05/2024
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