Individual
NOVA ELIZABETH GATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
160 N EAGLE CREEK DR STE 400, LEXINGTON, KY 40509-2124
(859) 258-5220
(859) 258-5405
Mailing address
160 NORTH EAGLE CREEK DRIVE, SUITE 400, LEXINGTON, KY 40509
(859) 258-5220
(859) 258-5405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1076859
KY
207VM0101X
Maternal & Fetal Medicine Physician
3004231
KY
363L00000X
Nurse Practitioner
Primary
3004231
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100149970
—
KY
Enumeration date
01/11/2011
Last updated
07/21/2022
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