Individual
SUSAN ELLIS WINEBRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
140 WHITTINGTON PKWY, SUITE 100, LOUISVILLE, KY 40222-4930
(502) 327-9100
(855) 632-8329
Mailing address
1906 MOUNT STERLING DR, SELLERSBURG, IN 47172-9811
(502) 718-0149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010325
KY
363LA2200X
Adult Health Nurse Practitioner
3010325
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71006386A
IN
363LG0600X
Gerontology Nurse Practitioner
3010325
KY
363LP2300X
Primary Care Nurse Practitioner
3010325
KY
Other
Enumeration date
06/17/2016
Last updated
09/05/2024
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