Annie Ruth Bland, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Berea, KY
NPI 1376600635 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376600635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4652P (KY)
- Practice address
- 132 Mini Mall Drive
Berea Health Ministry, Inc.
Berea, KY 40403-1170 - Phone
- (859) 986-1274
- Fax
- (859) 986-1279
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4652P | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4652P | KY | Yes |
Addresses
Primary practice location
132 Mini Mall Drive
Berea Health Ministry, Inc.
Berea, KY 40403-1170
Mailing address
509 Paso Fino Dr
Richmond, KY 40475-8662
Phone (859) 626-8614
Other providers in Berea, KY
- Berea Urgent Care LLC
- Allison Walter Bethel
- BHG Lviii, LLC
- BHG Lviii, LLC
- BHG XXXV, LLC
- Samantha V Blandford
- Misty Blaylock
- Angela Boggs
- Tonya Danielle Booth
- Ladonna Borge
All providers in Berea, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.