Individual
PATRICIA DRERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 S SALEM DR, BARDSTOWN, KY 40004-1761
(502) 348-3400
Mailing address
110 S SALEM DR, BARDSTOWN, KY 40004-1761
(502) 348-3400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4270P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012242
—
KY
Enumeration date
01/22/2007
Last updated
05/15/2009
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