Individual
ERIN MARIE PIVONKA SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
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
363L00000X
Nurse Practitioner
3013015
KY
363LF0000X
Family Nurse Practitioner
Primary
3013015
KY
Other
Enumeration date
01/10/2019
Last updated
05/10/2022
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