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Individual

CORA GIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
46 WATERSIDE WAY, COVINGTON, KY 41017-9725
(859) 801-1692
Mailing address
46 WATERSIDE WAY, COVINGTON, KY 41017-9725

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1098849
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26192
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26192
APRN
SC
Enumeration date
02/23/2022
Last updated
07/27/2022
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