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Contact Information

TASHA L MCCORMICK, ARNP
130 KATE IRELAND DR
HYDEN, KY41749
 Phone: 606-672-2901
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TASHA L MCCORMICK · (Female)

NPI Number 1396185716
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/29/2013
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3007771
  • KY Medicaid 7100269810
Hospital affiliation(s)
  • MARY BRECKINRIDGE ARH HOSPITAL - (Critical Access)
    130 KATE IRELAND DRIVE
    HYDEN, KY 41749
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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