Individual
EMILY BRIANNE FEDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
Mailing address
2813 ALICE AVE, LOUISVILLE, KY 40220-1703
(765) 524-8550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
285526
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3013837
KY
Other
Enumeration date
06/04/2019
Last updated
01/19/2022
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