Individual
ELISHA KAY CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-8241
(812) 537-1041
Mailing address
PO BOX 639353, CINCINNATI, OH 45263-9263
(812) 537-8241
(812) 537-1041
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3007411
KY
363LA2200X
Adult Health Nurse Practitioner
COA.13168-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
71006724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71006724A
LICENSE
IN
Enumeration date
03/26/2012
Last updated
02/25/2019
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