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Individual

NATALIE GWYN EVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4530
(859) 258-4870
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3013147
KY
363LG0600X
Gerontology Nurse Practitioner
3013147
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
3013147
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100613230
KY
Enumeration date
05/17/2019
Last updated
09/07/2022
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