Individual
HEATHER N FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
Mailing address
503 E SOUTHERN AVE, COVINGTON, KY 41015-1531
(859) 468-4831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2048180
KY
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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