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MRS. MARCIA ELISE MCGINNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5905 GRANDEL BLVD, LOUISVILLE, KY 40258-3099
(502) 489-7351
Mailing address
101 S. FIFTH STREET, SUITE 2500, LOUISVILLE, KY 40202-3066
(574) 546-1900
(574) 546-1999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007793
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007793
KY

Other

Enumeration date
12/02/2012
Last updated
09/08/2022
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