Organization · Type 2 NPI
Blossom Tree Healthcare LLC
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1356296768
Active
Practice location
330 Evergreen Rd Ste 8
Louisville, KY 40243-1096
Fax (502) 251-4829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1356296768
Blossom Tree Healthcare LLC's National Provider Identifier is 1356296768, issued on Mar 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Louisville, KY. The record was last updated on Apr 2, 2026.