Organization Name: | CORNERSTONE FAMILY HEALTH CARE, LLC |
NPI Number: | 1013304344 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH ANN PATRICK (OWNER/PRACTITIONER) |
Mailing Address: | Rt 30 Middlefork Box 535 Salyersville |
State: | KY US |
Postal Code: | 414650535 |
Phone Number: | 6063497710 |
Fax Number: | 6063497720 |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3004848 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |