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Individual

MRS. JULIANNE Z EWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3581 HARRODSBURG RD STE 250, LEXINGTON, KY 40513-1140
(859) 313-6300
(859) 469-8185
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1126P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7800250800
KY
01
P00436546
RRMC
KY
Enumeration date
11/16/2005
Last updated
07/24/2019
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