Provider Demographics
NPI:1790753143
Name:TRUEBLOOD, VIOLET T (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:VIOLET
Middle Name:T
Last Name:TRUEBLOOD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 BOGLE ST
Mailing Address - Street 2:STE B
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503
Mailing Address - Country:US
Mailing Address - Phone:606-679-9213
Mailing Address - Fax:606-677-9963
Practice Address - Street 1:3810 S HWY 27
Practice Address - Street 2:STE 4
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503
Practice Address - Country:US
Practice Address - Phone:606-677-0772
Practice Address - Fax:606-677-0969
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3023P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000328295OtherBCBS
1167822OtherCHA HEALTH
KY78003571Medicaid
1167822OtherCHA HEALTH
P14059Medicare UPIN