Individual
TERESA MCILVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 DANIEL DR, DANVILLE, KY 40422-2527
(859) 239-5570
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 239-2360
(859) 239-5579
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010408
KY
Other
Enumeration date
06/27/2016
Last updated
02/28/2023
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