Organization · Type 2 NPI
ST Luke Pediatric Center
Pediatric Nurse Practitioner · Bellevue, KY
NPI number
1104087196
Active
Practice location
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Fax (859) 261-9788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1104087196
ST Luke Pediatric Center's National Provider Identifier is 1104087196, issued on Jun 23, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bellevue, KY. The record was last updated on Jun 23, 2008.