Individual
DEANNA MICHELLE STITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3101 POPLAR LEVEL RD STE 101, LOUISVILLE, KY 40213-1076
(502) 636-7444
(502) 636-7112
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
3012179
KY
363LA2200X
Adult Health Nurse Practitioner
AG02180069
KY
Other
Enumeration date
04/12/2018
Last updated
03/01/2023
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