Individual provider · Type 1 NPI

Paula A. Base, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Louisville, KY

NPI number 1104921147 Active

Practice location

2529 Six Mile Ln
Louisville, KY 40220-2934

Fax (502) 491-0214

Mailing address

12201 Bluegrass Pkwy
Louisville, KY 40299-2361

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X3002822 (KY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104921147

Paula A. Base, NURSE PRACTITIONER's National Provider Identifier is 1104921147, issued on Sep 14, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Louisville, KY. The record was last updated on Dec 16, 2015.