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Individual

SHELLEY RENEE GOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

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
363LN0000X
Neonatal Nurse Practitioner
Primary
3004982
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3004982
APRN LICENSE
KY
Enumeration date
11/14/2007
Last updated
01/13/2017
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