Organization
ST LUKE PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SANCHEZ CPC (CODER)
(859) 261-3700
Entity
Organization
Contact information
Practice address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Mailing address
103 LANDMARK DR STE 360, BELLEVUE, KY 41073-1354
(859) 261-3700
(859) 261-9788
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65915621
—
KY
01
—
78901709
MEDICAID NP GROUP
KY
Enumeration date
06/23/2008
Last updated
06/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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