Individual
MRS. MISTY NICOLE DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(502) 804-5495
(833) 563-1715
Mailing address
312 S 4TH ST STE 700, LOUISVILLE, KY 40202-3046
(502) 804-5495
(833) 563-1715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009838
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100389770
—
KY
Enumeration date
11/23/2015
Last updated
04/14/2025
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