IndividualActive
Adrianne Otworth
NPI 1790317048 · Gerontology Nurse Practitioner · Ashland, KY
Provider details
- NPI number
- 1790317048
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AG01200156 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2201 Lexington Ave
Ashland, KY 41101-2843
Phone: (606) 408-4000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2379
Ashland, KY 41105-2379
Registry dates
- Enumerated
- 2020-02-05
- Last updated
- 2022-01-07
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.