Individual
MRS. MELISSA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3999 DUTCHMANS LN STE 7B, LOUISVILLE, KY 40207-4742
(502) 896-4711
(502) 896-4791
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1078864
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003997
STATE LICENSE
KY
05
—
7100126830
—
KY
Enumeration date
01/19/2007
Last updated
05/17/2022
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