Individual
CHRISTINA SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD, SUITE 305, LOUISVILLE, KY 40241-2845
(502) 394-6460
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
3010710
KY
363LA2100X
Acute Care Nurse Practitioner
3010710
KY
Other
Enumeration date
09/09/2016
Last updated
11/01/2019
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