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NPI Code Detail

MEDICARE: BRENDE L LOTT APRN

MEDICARE: BRENDE L LOTT 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
1363LX0001XObstetrics & Gynecology Nurse Practitioner3007440KY
2367A00000XAdvanced Practice Midwife3007440KY

General Provider Information

NPI Number : 1437419009
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDE L LOTT APRN
Provider Business Mailing Address
First Line : 1698 OLD LEBANON RD
Second Line :
City : CAMPBELLSVILLE
State : KY
Zip : 42718-3319
Country : US
Telephone Number : 270-789-6087
Fax Number : 270-789-6119
Provider Business Practice Location Address
First Line : 2200 E PARRISH AVE BLDG B
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-1449
Country : US
Telephone Number : 270-926-3700
Fax Number : 270-926-0368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2012
Last Update Date : 04/07/2026

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Directions to “ BRENDE L LOTT APRN” Practice Location

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