Individual
MRS. MICHELL LYNN FIRKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE202, LOUISVILLE, KY 40202-1831
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5064
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002201A
IN
363LF0000X
Family Nurse Practitioner
Primary
3005016
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200837810
—
IN
01
—
71002201A
INDIANA LICENSE
—
05
—
78017738
—
KY
Enumeration date
08/31/2006
Last updated
10/16/2020
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