Individual
MS. ANNETTE H. BACCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Mailing address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1051957 4041P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296656
ANTHEM BCBS
KY
Enumeration date
01/09/2007
Last updated
07/08/2007
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