Shc Medical Partners Of Kentucky, Llc | |
2529 Six Mile Ln Louisville KY 40220 | |
(502) 491-5560 | |
(502) 491-0214 |
Full Name | Shc Medical Partners Of Kentucky, Llc |
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Speciality | Nurse Practitioner |
Location | 2529 Six Mile Ln, Louisville, Kentucky |
Authorized Official Name and Position | Penny Logan (COO) |
Authorized Official Contact | 5025582193 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shc Medical Partners Of Kentucky, Llc 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 558-2193 | Shc Medical Partners Of Kentucky, Llc 2529 Six Mile Ln Louisville KY 40220 Ph: (502) 491-5560 |
NPI Number | 1417132614 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 03/30/2023 |
Certification Date | 03/30/2023 |
Medicare PECOS PAC ID | 1153406301 |
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Medicare Enrollment ID | O20080312000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417132614 | NPI | - | NPPES |
7100185200 | Medicaid | KY | |
7100405980 | Medicaid | KY |
Provider Name | Joan Alice Osborne |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285739797 PECOS PAC ID: 5597710632 Enrollment ID: I20050322000350 |
Provider Name | Patricia A Koller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023101995 PECOS PAC ID: 1355375361 Enrollment ID: I20050920000480 |
Provider Name | Dominique R Abell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528148749 PECOS PAC ID: 6002909934 Enrollment ID: I20070907000533 |
Provider Name | Penny S Logan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710134895 PECOS PAC ID: 3274439500 Enrollment ID: I20090120000097 |
Provider Name | Yvonne T Pfanenstiel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295966968 PECOS PAC ID: 5092854786 Enrollment ID: I20091230000189 |
Provider Name | Carolyn A Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235155763 PECOS PAC ID: 8628104858 Enrollment ID: I20100326000970 |
Provider Name | Andrea M Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992023816 PECOS PAC ID: 5496886384 Enrollment ID: I20100621000521 |
Provider Name | Carol L Thurman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558672808 PECOS PAC ID: 0042402406 Enrollment ID: I20101005000109 |
Provider Name | Sandra Lucinda Hazelwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285915256 PECOS PAC ID: 9931373495 Enrollment ID: I20111117000753 |
Provider Name | Demara A Goodrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023394442 PECOS PAC ID: 7214190511 Enrollment ID: I20120524000311 |
Provider Name | Mary L Newman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609128131 PECOS PAC ID: 1557512522 Enrollment ID: I20121126000056 |
Provider Name | Tonya S Motayne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639412679 PECOS PAC ID: 3870731078 Enrollment ID: I20130529000982 |
Provider Name | Kelly Mike |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073939468 PECOS PAC ID: 9638301419 Enrollment ID: I20140409001229 |
Provider Name | Pamela S Dale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205172970 PECOS PAC ID: 2466684782 Enrollment ID: I20140418000696 |
Provider Name | Jennifer S Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740691781 PECOS PAC ID: 0446476808 Enrollment ID: I20140722000878 |
Provider Name | Gladell Emogene Cima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649335225 PECOS PAC ID: 8123061140 Enrollment ID: I20140805002357 |
Provider Name | Sandra Teresa Mahoney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528327038 PECOS PAC ID: 7719209907 Enrollment ID: I20141124002441 |
Provider Name | Elizabeth I Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194128462 PECOS PAC ID: 7517289192 Enrollment ID: I20141210001223 |
Provider Name | Lindsey Carol Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417330630 PECOS PAC ID: 3173837556 Enrollment ID: I20150729007995 |
Provider Name | Andrew D Buckley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013273853 PECOS PAC ID: 8628222783 Enrollment ID: I20150914000717 |
Provider Name | Jennifer D Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700260676 PECOS PAC ID: 4688984008 Enrollment ID: I20151113001481 |
Provider Name | Jacqueline Cassell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184095200 PECOS PAC ID: 1658671987 Enrollment ID: I20151118001456 |
Provider Name | Chance Robertson Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811348204 PECOS PAC ID: 9931497088 Enrollment ID: I20161005002502 |
Provider Name | Hershema Burnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396294401 PECOS PAC ID: 4789962903 Enrollment ID: I20161024000226 |
Provider Name | Makulah Schweiger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487006987 PECOS PAC ID: 8224316609 Enrollment ID: I20161107000835 |
Provider Name | Arif Nazir |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1174516751 PECOS PAC ID: 9537255740 Enrollment ID: I20161205000993 |
Provider Name | Vicky W Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366990145 PECOS PAC ID: 7618259862 Enrollment ID: I20170123002213 |
Provider Name | Heather Marie Stone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255780987 PECOS PAC ID: 4183906308 Enrollment ID: I20170124002039 |
Provider Name | Kambra J Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295263960 PECOS PAC ID: 6608144225 Enrollment ID: I20170622000758 |
Provider Name | Crystal L Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689124141 PECOS PAC ID: 9830461771 Enrollment ID: I20171102003385 |
Provider Name | Somer K Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902353980 PECOS PAC ID: 4284991753 Enrollment ID: I20171208001492 |
Provider Name | Emilie Hood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770015463 PECOS PAC ID: 6901164383 Enrollment ID: I20171212001482 |
Provider Name | Kara G Hibbitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295233435 PECOS PAC ID: 8123388642 Enrollment ID: I20180201000691 |
Provider Name | Meng Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629529391 PECOS PAC ID: 2769747377 Enrollment ID: I20180601001093 |
Provider Name | Teresa White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437632577 PECOS PAC ID: 9931450913 Enrollment ID: I20181002000962 |
Provider Name | Katherine Redmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619359387 PECOS PAC ID: 6608186739 Enrollment ID: I20181022001110 |
Provider Name | Leshia D Derringer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568930436 PECOS PAC ID: 6901140201 Enrollment ID: I20181127001658 |
Provider Name | Brittany D Clunie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427546373 PECOS PAC ID: 9436413309 Enrollment ID: I20181204001179 |
Provider Name | Krista D Lanham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801351101 PECOS PAC ID: 9638418916 Enrollment ID: I20190304002259 |
Provider Name | Tammy Ireen Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780157057 PECOS PAC ID: 8820331853 Enrollment ID: I20190515000946 |
Provider Name | Deborah Ann Zinsius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164922688 PECOS PAC ID: 6002143377 Enrollment ID: I20190808002556 |
Provider Name | Emily Nicole Kern |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922653989 PECOS PAC ID: 0345579215 Enrollment ID: I20190903002162 |
Provider Name | Marinda Schneider |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457992570 PECOS PAC ID: 1850623570 Enrollment ID: I20191030001973 |
Provider Name | Amanda Collier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669857850 PECOS PAC ID: 2961703616 Enrollment ID: I20200110000258 |
Provider Name | Lucretia Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285269241 PECOS PAC ID: 6002245602 Enrollment ID: I20200402001622 |
Provider Name | Heather Girten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245866953 PECOS PAC ID: 9032549779 Enrollment ID: I20200421002885 |
Provider Name | Emily Floyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619503836 PECOS PAC ID: 3870923006 Enrollment ID: I20200430001268 |
Provider Name | Kathleen L Buchanan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891005633 PECOS PAC ID: 9638319205 Enrollment ID: I20200707002403 |
Provider Name | Denise Schubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578197018 PECOS PAC ID: 2163845793 Enrollment ID: I20200714003902 |
Provider Name | Rachel Nicole Cole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114547031 PECOS PAC ID: 3476978610 Enrollment ID: I20200804003246 |
Provider Name | Dazia Dillard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760015663 PECOS PAC ID: 3678999752 Enrollment ID: I20200819003647 |
Provider Name | Loria Rice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649882630 PECOS PAC ID: 6608294632 Enrollment ID: I20200908002441 |
Provider Name | Kathryn Fischer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467086744 PECOS PAC ID: 1951729888 Enrollment ID: I20200909002876 |
Provider Name | Joann Hobbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174165989 PECOS PAC ID: 3577974674 Enrollment ID: I20201120001677 |
Provider Name | Jenny Garner Tharp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932719606 PECOS PAC ID: 1456762178 Enrollment ID: I20201201000983 |
Provider Name | Shirley B Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265034375 PECOS PAC ID: 6800200213 Enrollment ID: I20210126002886 |
Provider Name | Denise Barnes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427647783 PECOS PAC ID: 9931515038 Enrollment ID: I20210316001652 |
Provider Name | Brianna Joy Monin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982284212 PECOS PAC ID: 4688082258 Enrollment ID: I20210420001578 |
Provider Name | Marlena Burkhead |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023654480 PECOS PAC ID: 2668873407 Enrollment ID: I20210630001674 |
Provider Name | Olivia N Gary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619581766 PECOS PAC ID: 1153724448 Enrollment ID: I20210723002322 |
Provider Name | Samantha Nicole Burton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841877313 PECOS PAC ID: 3870996671 Enrollment ID: I20210729003849 |
Provider Name | Anita Francesella Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871116830 PECOS PAC ID: 3678977550 Enrollment ID: I20210816000150 |
Provider Name | Caitlyn Michelle Gary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235751785 PECOS PAC ID: 7315342243 Enrollment ID: I20210816002758 |
Provider Name | Laura Marie De La Torre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821316399 PECOS PAC ID: 6103075601 Enrollment ID: I20210819001148 |
Provider Name | Melanie N Lawson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346817152 PECOS PAC ID: 0749686095 Enrollment ID: I20210910002792 |
Provider Name | Brittany Nichole Stark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528738283 PECOS PAC ID: 9032517578 Enrollment ID: I20211013002070 |
Provider Name | Stephanie Danielle Finney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366026916 PECOS PAC ID: 5991193096 Enrollment ID: I20211021002842 |
Provider Name | Amelia L Cecil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982186284 PECOS PAC ID: 3476892399 Enrollment ID: I20211022001086 |
Provider Name | Adrienne Nicole Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093472292 PECOS PAC ID: 7214328673 Enrollment ID: I20211220002350 |
Provider Name | Kara Danielle Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760140107 PECOS PAC ID: 9436540713 Enrollment ID: I20211221000671 |
Provider Name | Amanda Joyce Newman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871251900 PECOS PAC ID: 4789075862 Enrollment ID: I20211228001121 |
Provider Name | Bynisha Robertson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033722525 PECOS PAC ID: 7315359791 Enrollment ID: I20220221002285 |
Provider Name | Kimberly Bolin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710631338 PECOS PAC ID: 4789062720 Enrollment ID: I20220603001802 |
Provider Name | Philip Penn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124766738 PECOS PAC ID: 5193104180 Enrollment ID: I20220622001287 |
Provider Name | Misty Gail Atkinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619647658 PECOS PAC ID: 9133508724 Enrollment ID: I20220628003088 |
Provider Name | Alix M Mattingly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891379640 PECOS PAC ID: 4183008725 Enrollment ID: I20220831003090 |
Provider Name | Paula Nicole Popa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306579230 PECOS PAC ID: 1153706296 Enrollment ID: I20220909003016 |
Provider Name | Trista Bodenstadt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205597515 PECOS PAC ID: 4284026840 Enrollment ID: I20221006002845 |
Provider Name | Makayla Gail Bullock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992416424 PECOS PAC ID: 5597136994 Enrollment ID: I20230123001750 |
Provider Name | Melanie June Winegar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891182358 PECOS PAC ID: 1850602228 Enrollment ID: I20230303001707 |
Provider Name | Jennifer Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750765673 PECOS PAC ID: 2961704895 Enrollment ID: I20230620001469 |
Provider Name | Amy Bedan Poff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932394087 PECOS PAC ID: 8325110950 Enrollment ID: I20230724001186 |
Provider Name | Annie S Booth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457034167 PECOS PAC ID: 0446604870 Enrollment ID: I20231003003143 |
Provider Name | Lindsay Ann Osborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750067708 PECOS PAC ID: 2668827171 Enrollment ID: I20231018000884 |
Provider Name | Sonya Lawless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871365205 PECOS PAC ID: 6608225776 Enrollment ID: I20231214001836 |
Provider Name | Morgan Hack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194598508 PECOS PAC ID: 7214380898 Enrollment ID: I20240131000075 |
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