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Individual

PAULA WENTWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7388 TURFWAY RD, FLORENCE, KY 41042-1381
(859) 212-7000
(859) 212-7010
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-7000
(859) 212-7010

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003896
KY
363LF0000X
Family Nurse Practitioner
3003896
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78009289
KY
Enumeration date
07/18/2006
Last updated
08/04/2020
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