Organization
NIGHTINGALE HEALTHCARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYNNE EASTON-HOGG (OWNER)
(727) 538-4208
Entity
Organization
Contact information
Practice address
210 N BROADWAY ST STE 1, BEREA, KY 40403-2212
(727) 538-4208
Mailing address
210 N BROADWAY ST STE 1, BEREA, KY 40403-2212
(727) 538-4208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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