Individual
LERIN MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
53 ROSELAWN DR, INDEPENDENCE, KY 41051-9225
(859) 322-7118
Mailing address
53 ROSELAWN DR, INDEPENDENCE, KY 41051-9225
(859) 322-7118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016006
KY
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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