Organization
ANGIE ETHRIDGE APRN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D ETHRIDGE APRN (OWNER)
(502) 262-7929
Entity
Organization
Contact information
Practice address
561 ETHRIDGE LN, COXS CREEK, KY 40013-8857
(502) 262-7929
(833) 449-5151
Mailing address
PO BOX 37271, BELFAST, ME 04915-1214
(502) 262-7929
(833) 449-5151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100380730
—
KY
Enumeration date
09/11/2015
Last updated
05/08/2024
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