Individual
MIA JEANETTE ZETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LEGACY DR, BEREA, KY 40403-9594
(859) 986-2323
Mailing address
3409 MILAM LN APT 329, LEXINGTON, KY 40502-3630
(503) 860-7816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3018051
KY
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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