2022 LLC

NPI: 1821809153 · Organization · Active

Primary Specialty

Family Nurse Practitioner
Nurse Practitioner — Family

Practice Location

700 GAGEL AVE
LOUISVILLE, KY 40216-4008 Map ↗
Phone: 502-963-5516
Fax: 502-963-5704

All Specialties & Licenses

  • Family Nurse Practitioner Primary — Family
  • Primary Care Nurse Practitioner — Primary Care

NPI Registration

Enumerated: 2025-01-16

Last CMS Update: 2025-10-03