Provider Demographics
NPI:1871314658
Name:STEARNS, NATHANIEL EDWARD (APRN)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:EDWARD
Last Name:STEARNS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 W HWY 80
Mailing Address - Street 2:
Mailing Address - City:NANCY
Mailing Address - State:KY
Mailing Address - Zip Code:42544
Mailing Address - Country:US
Mailing Address - Phone:606-288-0019
Mailing Address - Fax:
Practice Address - Street 1:9919 W HWY 80
Practice Address - Street 2:
Practice Address - City:NANCY
Practice Address - State:KY
Practice Address - Zip Code:42544
Practice Address - Country:US
Practice Address - Phone:606-288-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4028574363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner