Individual
AMY WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
134 MAIN AVE, NAZARETH, KY 40048-1377
(502) 331-4551
Mailing address
PO BOX 237, NAZARETH, KY 40048-0237
(270) 699-6118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009420
KY
Other
Enumeration date
06/09/2015
Last updated
05/29/2024
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