Individual
MRS. CAROL SUE MCLENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, CNS, FNP
Contact information
Practice address
3505 HARDWOOD FOREST DR, LOUISVILLE, KY 40214-6513
(502) 419-3794
Mailing address
3505 HARDWOOD FORREST DRIVE, LOUSVILLE, KY 40214
(502) 419-3794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1050157
KY
363LF0000X
Family Nurse Practitioner
Primary
2757P
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2757S
KY
Other
Enumeration date
01/08/2007
Last updated
11/09/2009
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