Individual
HEATHER PANARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8600
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1106030
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006591
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142380
—
KY
Enumeration date
03/26/2008
Last updated
08/23/2019
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