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MRS. EMILY STORMS SHUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207-4721
(502) 891-8300
(502) 891-8668
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3018496
KY

Other

Enumeration date
10/10/2022
Last updated
01/31/2024
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