Individual
ANDREA S GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
200 BELMONT AVE, SOMERSET, KY 42501
(606) 687-2038
(606) 200-3654
Mailing address
PO BOX 3044, WEST SOMERSET, KY 42564-3044
(606) 687-2038
(606) 200-3654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012722
KY
Other
Enumeration date
10/02/2018
Last updated
06/08/2020
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