Individual
ADRIANNE OTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG01200156
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3014433
KY
Other
Enumeration date
02/05/2020
Last updated
01/07/2022
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