Individual
ERIN DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PHILLIPS CT, HENDERSON, KY 42420-4314
(270) 399-6501
Mailing address
4 PHILLIPS CT, HENDERSON, KY 42420
(270) 399-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1148794
KY
363LF0000X
Family Nurse Practitioner
Primary
3016950
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148794
—
KY
05
—
3016950
—
KY
Enumeration date
03/08/2021
Last updated
11/08/2021
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