Individual
MRS. MELLISA L LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
4001 KRESGE WAY, SUITE 100, LOUISVILLE, KY 40207-4640
(502) 897-6579
(502) 897-2725
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076667
REGISTERED NURSE LICENSE
KY
01
—
2601P
NURSE PRACTITIONER LICENS
KY
Enumeration date
11/16/2005
Last updated
12/10/2020
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