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MRS. COURTNEY NICOLE FAZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
104 MOHAWK STREET, BROWNSVILLE, KY 42210
(270) 597-2155
Mailing address
1425 HILEY SPENCER RD, SCOTTSVILLE, KY 42164
(270) 618-0437
(270) 597-3811

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012884
KY

Other

Enumeration date
12/21/2018
Last updated
12/21/2018
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