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NPI Code Detail

MEDICARE: NOYE ROWGENA CAIN APRN

MEDICARE:   NOYE ROWGENA CAIN  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
1363L00000XNurse Practitioner4687PKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12683221000OTHERKYPASSPORT ADVANTAGE
2000000390266OTHERKYANTHEM
350009633OTHERKYPASSPORT
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811964091
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOYE ROWGENA CAIN APRN
Provider Business Mailing Address
First Line : 910 WALLACE AVE
Second Line :
City : LEITCHFIELD
State : KY
Zip : 42754-2414
Country : US
Telephone Number : 270-259-2714
Fax Number : 270-259-3593
Provider Business Practice Location Address
First Line : 910 WALLACE AVE
Second Line :
City : LEITCHFIELD
State : KY
Zip : 42754-2414
Country : US
Telephone Number : 270-259-2714
Fax Number : 270-259-3593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 02/01/2012

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Directions to “ NOYE ROWGENA CAIN APRN” Practice Location

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