Individual provider · Type 1 NPI
Mary Lee Pantess, NP
Family Nurse Practitioner · Louisville, KY
NPI number
1043996911
Active
Practice location
924 E Broadway
Louisville, KY 40204-1057
Fax (502) 200-8904
Mailing address
817 S Jackson St
Louisville, KY 40203-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4005705 (KY) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 4005705 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 4005705 (KY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1043996911
Mary Lee Pantess, NP's National Provider Identifier is 1043996911, issued on Jun 26, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Jul 27, 2026.