Individual
DIANNA B ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
2512 PADDOCK CT, LOUISVILLE, KY 40216-2326
(502) 314-2801
Mailing address
2512 PADDOCK CT, LOUISVILLE, KY 40216-2326
(502) 314-2801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2042608
KY
164W00000X
Licensed Practical Nurse
27063583A
IN
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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