Organization
NP CAREGIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON RENEE WILDER APRN (ADULT NURSE PRACTITIONER)
(606) 273-0958
Entity
Organization
Contact information
Practice address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-1906
(606) 589-5421
Mailing address
120 GILLIAM ST, CUMBERLAND, KY 40823-1906
(606) 273-0958
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1086716
KY
Other
Enumeration date
10/17/2011
Last updated
12/05/2011
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