Individual
ANGELA EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
39 CUMBERLAND GAP PLZ, GRAY, KY 40734-4536
(606) 526-9005
(606) 526-8607
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4914
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010848
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100449400
—
KY
Enumeration date
11/04/2016
Last updated
01/16/2019
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