Provider Demographics
NPI:1841296050
Name:MAIN, MARIA EVE (ARNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:EVE
Last Name:MAIN
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 1:815 WAKEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-1554
Mailing Address - Country:US
Mailing Address - Phone:270-781-2200
Mailing Address - Fax:
Practice Address - Street 1:1906 COLLEGE HEIGHTS BLVD #8400
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1041
Practice Address - Country:US
Practice Address - Phone:270-745-5641
Practice Address - Fax:270-745-3806
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2532P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily