Healthcare Provider Details

I. General information

NPI: 1487071759
Provider Name (Legal Business Name): CYNTHIA M. BRATCHER MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ASHLEY CIR
BOWLING GREEN KY
42104-3362
US

IV. Provider business mailing address

1801 ASHLEY CIR
BOWLING GREEN KY
42104-3362
US

V. Phone/Fax

Practice location:
  • Phone: 270-793-2165
  • Fax: 270-793-2055
Mailing address:
  • Phone: 270-793-2165
  • Fax: 270-793-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008589
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: