Individual
MRS. MICHELLE RENAE STETTENBENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4003 KRESGE WAY STE 400, LOUISVILLE, KY 40207-4652
(812) 484-6480
(502) 259-5953
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005912
KY
363LF0000X
Family Nurse Practitioner
Primary
3005912
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000736286
ANTHEM
KY
05
—
200985350
—
IN
01
—
3005912
LICENSE
KY
01
—
50035532
PASSPORT
KY
05
—
7100077520
—
KY
Enumeration date
02/03/2009
Last updated
04/23/2026
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