Individual
ANGELA MARIE HACKWORTH-COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6407 BARDSTOWN RD STE 105, LOUISVILLE, KY 40291-3040
(734) 464-0887
(734) 402-0254
Mailing address
6407 BARDSTOWN RD STE 105, LOUISVILLE, KY 40291-3040
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4006470
KY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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