Individual
DANE MICHAEL MENDELSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2105 CRUMS LN, LOUISVILLE, KY 40216-4231
(502) 589-8600
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018920
KY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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