HomeNPI Verification

NPI Verification

National Provider Identifier: 1336563543

Advanced Internal Medicine PLLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Nurse Practitioner, Family

Code: 363LF0000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

2005 BROADWAY ST

PADUCAH, KY 420017107

Phone: 270-366-7650

NPI Enumeration Date

February 7, 2014

NPI Number

1336563543

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry