Individual
MRS. DOROTHY RENEE CLERICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
140 WHITTINGTON PKWY, SUITE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
Mailing address
1075 WALTS RD, GEORGETOWN, IN 47122-9423
(812) 951-0387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28154312A
IN
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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