Individual
MARY CAROLINE BROMAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 226-7000
Mailing address
740 S LIMESTONE, LEXINGTON, KY 40536-0284
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3007780
KY
Other
Enumeration date
01/09/2013
Last updated
11/03/2017
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