Individual
TAMARA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST, 310, LOUISVILLE, KY 40202-5700
(502) 584-8563
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007549
KY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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