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DEBRA L TAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
95 BOGLE OFFICE PARK DR, SOMERSET, KY 42503-2810
(606) 677-1451
(606) 678-0814
Mailing address
520 TECHWOOD DR N, SUITE 100, DANVILLE, KY 40422-8500
(859) 936-9844
(859) 236-0320

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1075008
KY
363L00000X
Nurse Practitioner
Primary
3007561
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000778714
ANTHEM BLUE CROSS BLUE SHIELD
KY
05
7100217700
KY
01
C61028
CUMBERLAND HEALTHCARE, INC.
01
P01161874
RAILROAD MEDICARE
KY
Enumeration date
06/13/2012
Last updated
05/21/2013
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