Brende L Lott, APRN | |
105 Greenbriar Dr Ste B, Campbellsville, KY 42718-9617 | |
(270) 465-3568 | |
(270) 789-6119 |
Full Name | Brende L Lott |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 105 Greenbriar Dr Ste B, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437419009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 3007440 (Kentucky) | Secondary |
367A00000X | Advanced Practice Midwife | 3007440 (Kentucky) | Primary |
Entity Name | The Women's Pavilion, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750475596 PECOS PAC ID: 5294729174 Enrollment ID: O20040413001062 |
Entity Name | Taylor Regional Medical Group,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
Mailing Address | Practice Location Address |
---|---|
Brende L Lott, APRN 1698 Old Lebanon Rd, Campbellsville, KY 42718-3319 Ph: (270) 789-6087 | Brende L Lott, APRN 105 Greenbriar Dr Ste B, Campbellsville, KY 42718-9617 Ph: (270) 465-3568 |
Carrie Fry, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 105 Greenbriar Dr Ste B, Campbellsville, KY 42718 Phone: 270-465-3568 Fax: 270-789-6119 | |
Karen Wolfe, ARNP, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718 Phone: 270-465-3561 Fax: 270-789-6119 | |
Sharon N Rose, CNM, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1698 Old Lebanon Rd, Suite 2b, Campbellsville, KY 42718 Phone: 270-465-3568 |