Individual
MARTHA SUZANNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(859) 385-4093
(859) 355-5368
Mailing address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(859) 385-4093
(859) 355-5368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1067902
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014803
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100723690
—
KY
Enumeration date
06/01/2020
Last updated
09/04/2024
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