Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 3016983 | KY |
NPI | 1023762408 |
---|---|
Provider Name | Rita Ndongkou Biedenharn |
First Address | Florence, KY 41042-4824 |
Second Address | Florence, KY 41042-4824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2022 |
Last Update Date | 04/02/2022 |