National Provider Identifier Database

ANGIE ETHRIDGE APRN PLLC
Family


Contact Information

ANGIE ETHRIDGE APRN PLLC
561 ETHRIDGE LN
COXS CREEK, KY40013-8857
Phone: 502-262-7929
Fax: 833-449-5151
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ANGIE ETHRIDGE APRN PLLC

NPI Number 1548638240
Legal business name
LBN
ANGIE ETHRIDGE APRN PLLC
Authorized official ANGELA ETHRIDGE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/11/2015
Last updated 05/08/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 7100380730

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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