Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 3011355 | KY |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3011355 | KY |
N | 363LP2300X | Nurse Practitioner - Primary Care | 3011355 | KY |
NPI | 1689104085 |
---|---|
Provider Name | Emily Claire Messerli |
First Address | Lexington, KY 40536 |
Second Address | Lexington, KY 40536-2815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2017 |
Last Update Date | 01/09/2017 |