Doctor Name: | MARY MUSIC |
NPI Number: | 1770862658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3007057 |
Business Practice Address: | 906 E Mountain Pkwy Salyersville, KY - 414658379 |
Business Phone Number: | 6063498100 |
Business Fax Number: | 6063498150 |
Mailing Address: | Po Box 280, PRESTONSBURG |
State: | KY |
Postal Code: | 416530280 |
Phone Number: | 6063498100 |
Fax Number: | 6063498150 |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3007057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |