Individual
CARMELITA YVETTE MOPPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 502, LOUISVILLE, KY 40202-1896
(502) 588-7690
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-7690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100521150
—
KY
Enumeration date
12/19/2017
Last updated
02/03/2021
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