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Individual

STEPHANIE J FUGATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
UK DIV OF PULMONARY CRITICAL CARE, 800 ROSE STREET, LEXINGTON, KY 40536-0284
(859) 323-5045
(859) 257-2418
Mailing address
UK DIV OF PULMONARY CRITICAL CARE, 740 S. LIMESTONE, L543 KY CLINIC, LEXINGTON, KY 40536-0284
(859) 323-5045
(859) 257-2418

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN335292
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
3006010
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2762005
OH
Enumeration date
09/26/2007
Last updated
01/11/2013
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