MEDICARE: HEALTH CARE EDUCATIONAL RESOURCES AND SEMINARS LLC

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
1	363LF0000X	Family Nurse Practitioner	3002302	KY

General Provider Information

NPI Number	:	1336409952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE EDUCATIONAL RESOURCES AND SEMINARS LLC

Provider Business Mailing Address
First Line	:	1503 JOLEE DR
Second Line	:
City	:	HEBRON
State	:	KY
Zip	:	41048-9515
Country	:	US
Telephone Number	:	859-586-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2378 GRANDVIEW DR
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-1633
Country	:	US
Telephone Number	:	859-803-9275
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHY NOYES
Credential	:	DNP
Telephone Number	:	859-586-9789

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	02/26/2014

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