Doctor Name: | MS. MILDRED P SIZEMORE |
NPI Number: | 1679567945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP |
License Number: | 3000763 |
Business Practice Address: | 835 Parkway Dr Hope Family Medical Center Salyersville, KY - 414659250 |
Business Phone Number: | 6063495126 |
Business Fax Number: | 6063495123 |
Mailing Address: | 1709 Ky Route 321, Suite 3 PRESTONSBURG |
State: | KY |
Postal Code: | 416539101 |
Phone Number: | 6068868546 |
Fax Number: | 6068868548 |
NPI Enumeration Date: | 09/01/2005 |
NPI Last Update Date: | 03/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3000763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |