Individual
HEATHER MARIE BIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, BSN, RN
Contact information
Practice address
3409 MEADOWLARK DR, EDGEWOOD, KY 41018-2655
(859) 479-8204
Mailing address
3105 N BEND RD, HEBRON, KY 41048-8523
(859) 962-4922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4012486
KY
Other
Enumeration date
12/05/2023
Last updated
01/18/2024
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