Individual
MIKAYLA HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1150 LEXINGTON RD, GEORGETOWN, KY 40324-8300
(859) 562-8599
(859) 257-1214
Mailing address
1701 NICHOLASVILLE RD, LEXINGTON, KY 40503-1458
(931) 698-3773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3016181
KY
363LF0000X
Family Nurse Practitioner
Primary
3016181
KY
Other
Enumeration date
08/13/2021
Last updated
11/11/2022
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