Individual
NATALIE KATHLEEN CLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE STE L304, LEXINGTON, KY 40536-0001
(859) 323-6494
(859) 257-2573
Mailing address
204 WILL ANDREW CT, RICHMOND, KY 40475-2999
(859) 230-2842
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1158547
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
4029028
KY
Other
Enumeration date
07/11/2024
Last updated
12/02/2024
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