Individual
ELISABETH BURNETT SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN PMHNP
Contact information
Practice address
8206 HIGHVIEW CT, CRESTWOOD, KY 40014-8105
(502) 243-9559
Mailing address
8206 HIGHVIEW CT, CRESTWOOD, KY 40014-8105
(502) 243-9559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4004956
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4004956
KY
Other
Enumeration date
05/29/2023
Last updated
07/30/2025
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