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Individual

MRS. ROSE LYNN MULBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1108147
KY
163W00000X
Registered Nurse
311941
OH
363L00000X
Nurse Practitioner
Primary
3005725
KY
363LF0000X
Family Nurse Practitioner
3005725
KY

Other

Enumeration date
10/13/2008
Last updated
05/14/2021
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