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Individual

CAROL ANN CRASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
252 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4904
(502) 423-7246
(502) 292-5755
Mailing address
252 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4904
(502) 423-7246
(502) 292-5755

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006793
KY
363LF0000X
Family Nurse Practitioner
Primary
3006793
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100586400
KY
Enumeration date
01/18/2011
Last updated
04/09/2021
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