Individual
HEIDI ANN DUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 578-5880
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012820
KY
363LA2100X
Acute Care Nurse Practitioner
3012820
KY
Other
Enumeration date
10/25/2018
Last updated
04/30/2019
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