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Contact Information

ALIVE & WELL LLC
110 W MAIN CROSS ST
GREENVILLE, KY42345-1202
 Phone: 270-216-2212
 Fax: 270-297-8311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALIVE WELL LLC · (Female)

NPI Number 1497526198
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2024
Last updated 01/11/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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