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Individual

VIRGINIA POLLITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7430 JEFFERSON BLVD, SUITE 200, LOUISVILLE, KY 40219-6159
(502) 966-8675
(502) 966-8836
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009863
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3009863
LICENSE
KY
05
7100380700
KY
Enumeration date
10/29/2015
Last updated
03/29/2024
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