Organization · Type 2 NPI
Genesis Wellness Center PLLC
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1851166813
Active
Practice location
3000 S 5th St
Louisville, KY 40208-1312
Fax (502) 390-0330
Mailing address
4507 Meadowlark Manor Ln
Louisville, KY 40245-2702
Other practice locations
- 3620 W Broadway, Louisville, KY 40211 · (502) 694-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1851166813
Genesis Wellness Center PLLC's National Provider Identifier is 1851166813, issued on Nov 20, 2023. 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 Jul 11, 2024.