Organization
MERCY FAMILY MEDICINE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY ROBY APRN (OWNER/APRN)
(270) 304-8184
Entity
Organization
Contact information
Practice address
217 S MULBERRY ST, ELIZABETHTOWN, KY 42701-1430
(270) 304-8184
(502) 265-4318
Mailing address
553 TABB RD, CECILIA, KY 42724-9776
(270) 304-8184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100816430
—
KY
Enumeration date
02/28/2022
Last updated
12/28/2023
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