Individual
NINA JUNE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1324 WOODLAND DR, SUITE A, ELIZABETHTOWN, KY 42701-2651
(270) 765-5921
(270) 765-4391
Mailing address
1324 WOODLAND DR, SUITE A, ELIZABETHTOWN, KY 42701-2651
(270) 765-5921
(270) 765-4391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004047
KY
363L00000X
Nurse Practitioner
4047P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78016128
—
KY
Enumeration date
08/15/2005
Last updated
01/25/2011
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