Individual provider · Type 1 NPI
Ellen Azucena Kincaid, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1912673435
Active
Practice location
2650 W Broadway
Louisville, KY 40211-1333
Fax (502) 775-5292
Mailing address
1013 Hickory Switch Rd
La Grange, KY 40031-8921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 3016416 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1912673435
Ellen Azucena Kincaid, PMHNP's National Provider Identifier is 1912673435, issued on Aug 17, 2021. 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 Aug 17, 2021.