Individual
MARYE B DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2103 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2529
(502) 303-8193
(888) 400-7899
Mailing address
2103 STRATHMOOR BLVD, LOUISVILLE, KY 40205-2529
(502) 303-8193
(888) 400-7899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541715
ANTHEM - NICC
—
01
—
085599
SIHO - NICC
—
05
—
7100002500
—
KY
01
—
F1102031
AANP/FNP CERTIFICATION
KY
01
—
P00362325
RRMCR - NICC
KY
Enumeration date
07/15/2006
Last updated
03/07/2023
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