Individual
ASHLEY DRU LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 EASTPOINT PKWY, LOUISVILLE, KY 40223-4186
(502) 822-7679
(502) 470-3551
Mailing address
2906 EASTPOINT PKWY, LOUISVILLE, KY 40223-4186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1163542
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3018900
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018990
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
33950
TN
Other
Enumeration date
11/10/2021
Last updated
05/09/2023
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