Individual
AMANDA DANIELLE SACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1930 BISHOP LN FL 12, LOUISVILLE, KY 40218-1921
(502) 272-5220
(502) 272-5117
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100178700
—
KY
Enumeration date
07/27/2011
Last updated
09/05/2024
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