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NPI Code Detail

MEDICARE: SHELLEY RENEE GOVER ARNP

MEDICARE: SHELLEY RENEE GOVER ARNP
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
1363LN0000XNeonatal Nurse Practitioner3004982KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13004982OTHERKYAPRN LICENSE

General Provider Information

NPI Number : 1427238898
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY RENEE GOVER ARNP
Provider Business Mailing Address
First Line : 303 S 4TH ST
Second Line :
City : DANVILLE
State : KY
Zip : 40422-2091
Country : US
Telephone Number : 859-236-1080
Fax Number : 859-236-1862
Provider Business Practice Location Address
First Line : 303 S 4TH ST
Second Line :
City : DANVILLE
State : KY
Zip : 40422-2091
Country : US
Telephone Number : 859-236-1080
Fax Number : 859-236-1862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 01/13/2017

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