Individual
CARRIE ANN HIMMELSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8031 WESTOVER DR, PROSPECT, KY 40059-9434
(502) 889-1125
Mailing address
8031 WESTOVER DR, PROSPECT, KY 40059-9434
(502) 889-1125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012434
KY
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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