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Contact Information

ANNETTE H BACCUS, ARNP
300 S 8TH ST
SUITE 107E
MURRAY, KY42071-2400
 Phone: 270-753-9240
 Fax: 270-767-3629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANNETTE H BACCUS · (Female)

NPI # 1255480323
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 01/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1051957 4041P
  • KY Other 000000296656 ANTHEM BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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