Individual
AMANDA BROOKE ALBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Mailing address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010171
KY
363LP2300X
Primary Care Nurse Practitioner
3010171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100503420
—
KY
Enumeration date
06/05/2016
Last updated
08/29/2019
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