Individual
MRS. MICHELLE RENE GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2511 OLD CORNWALLIS RD STE 200, DURHAM, NC 27713-1869
(844) 932-5700
Mailing address
209 ROSEWOOD DR, BARDSTOWN, KY 40004-1127
(502) 641-8944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1146175
KY
363LF0000X
Family Nurse Practitioner
3011685
KY
363LF0000X
Family Nurse Practitioner
Primary
5009991
NC
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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