Organization
OPTIMAL HEALTH PRIMARY CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HUDSON APRN (PRESIDENT)
(859) 635-0867
Entity
Organization
Contact information
Practice address
8333 ALEXANDRIA PIKE, ALEXANDRIA, KY 41001-1187
(859) 635-0867
Mailing address
8333 ALEXANDRIA PIKE, ALEXANDRIA, KY 41001-1187
(859) 635-0867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006443
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100243020
—
KY
Enumeration date
05/20/2013
Last updated
01/06/2015
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