Individual
RUTH CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PHD
Contact information
Practice address
234 E GRAY ST STE 768, LOUISVILLE, KY 40202-1901
(502) 394-6470
(502) 394-3610
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9417
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201343100
—
IN
05
—
7100397510
—
KY
Enumeration date
09/18/2015
Last updated
10/25/2021
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