Individual provider · Type 1 NPI

Vivian Lee Rakestraw

Family Nurse Practitioner · Louisville, KY

NPI number 1316975063 Active

Practice location

215 Central Ave Ste 100
Louisville, KY 40208-1450

Fax (502) 852-2819

Mailing address

501 E Broadway, Suite 290
Louisville, KY 40202-1785

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4778P (KY)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1316975063

Vivian Lee Rakestraw's National Provider Identifier is 1316975063, issued on Jun 30, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Aug 17, 2010.