Individual
MARTHA E. EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
234 E GRAY ST, SUITE 270, LOUISVILLE, KY 40202-1903
(502) 629-8830
(502) 629-7540
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3001550
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200803070
—
IN
Enumeration date
05/31/2006
Last updated
10/29/2012
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