Individual
MS. PAULA A BASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2529 SIX MILE LN, LOUISVILLE, KY 40220-2934
(502) 491-5560
(502) 491-0214
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3002822
KY
Other
Enumeration date
09/14/2006
Last updated
12/16/2015
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