Individual
MRS. RACHEL COOPER BRIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
303 S 4TH ST, DANVILLE, KY 40422-2091
(859) 236-1080
(859) 236-1862
Mailing address
303 S 4TH ST, DANVILLE, KY 40422-2091
(859) 236-1080
(859) 236-1862
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3003722
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003722
APRN LICENSE
KY
05
—
7100446430
—
KY
Enumeration date
09/04/2007
Last updated
03/22/2017
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