Individual
ELIZABETH HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8109 BARDSTOWN RD, LOUISVILLE, KY 40291-3441
(502) 384-4555
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011429
KY
363LF0000X
Family Nurse Practitioner
3011429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011429
NP LICENSE
KY
Enumeration date
06/30/2017
Last updated
09/09/2019
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