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NPI Code Detail

MEDICARE: VERA HOPPER APRN

MEDICARE:   VERA  HOPPER  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3002498KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750385084
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA HOPPER APRN
Provider Business Mailing Address
First Line : 279 E MAIN ST
Second Line :
City : HAZARD
State : KY
Zip : 41701-1920
Country : US
Telephone Number : 606-487-9505
Fax Number : 606-436-0071
Provider Business Practice Location Address
First Line : 279 E MAIN ST
Second Line :
City : HAZARD
State : KY
Zip : 41701-1920
Country : US
Telephone Number : 606-487-9505
Fax Number : 606-436-0071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/30/2018

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Directions to “ VERA HOPPER APRN” Practice Location

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