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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGIE ETHRIDGE APRN PLLC

NPI Number 1548638240
LBN Legal business name ANGIE ETHRIDGE APRN PLLC
Authorized official ANGELA ETHRIDGE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2015
Last updated 05/08/2024 - About 2 years ago
Identifiers
KY Medicaid 7100380730
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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