Tele Nurse Practitioner, PLLC
Clinic/Center, Urgent Care in Beaver Dam, KY. Organization (NPI-2).
NPI number1346182425
StatusActive
Last updated in NPPESApr 7, 2026
Details
- NPI
- 1346182425
- Entity type
- Organization (NPI-2)
- Legal business name
- Tele Nurse Practitioner, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2026
- Certification date
- Apr 7, 2026
- Last updated
- Apr 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
5503 E Us Highway 62Beaver Dam, KY 42320-8945
Phone 270-532-3170 · Fax 835-777-1962
Mailing address
100 N Howard St Ste RSpokane, WA 99201-0508
Phone 270-532-3170 · Fax 835-777-1962
Authorized official
Tina Gay Cooney
Owner/Ceo
2703634458
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