Organization · NPI-2

All Healthcare LLC

Nurse Practitioner, Family · Ashland, KY

NPI number1164174355
StatusActive
Last updated in NPPESJun 27, 2022

Details

NPI
1164174355
Entity type
Organization (NPI-2)
Legal business name
All Healthcare LLC
Organization subpart
No
Enumeration date
Jan 19, 2022
Certification date
Jun 27, 2022
Last updated
Jun 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
207QA0401X Family Medicine, Addiction Medicine––

Practice location

332 15th St
Ashland, KY 41101-7626

Phone 606-388-2024

Mailing address

332 15th St
Ashland, KY 41101-7626

Phone 606-388-2024 · Fax 606-420-0204

Authorized official

Erica Shumway
Owner
6063719945

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