Individual
BRENDA SUE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CS
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4484S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4484S
ARNP LICENSE NUMBER
KY
01
—
50026824
PASSPORT HEALTH PLANS
KY
05
—
78007044
—
KY
Enumeration date
02/20/2007
Last updated
03/01/2010
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