Individual
MARY BIDDLE EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9880 ANGIES WAY, SUITE 110, LOUISVILLE, KY 40241-2851
(502) 446-6160
(502) 446-6161
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
444425
KY
363LF0000X
Family Nurse Practitioner
Primary
5341P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000605378
ANTHEM- CARDIOTHORACIC SURGERY
KY
01
—
000023035Z
HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
00533114
MEDICARE- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
102761
SIHO- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
200921910
MANAGED HEALTH SERVICES- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
—
200921910
—
IN
01
—
3704052000
PASSPORT ADVANTAGE- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
50023119
PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
01
—
7100067770
MEDICAID KY- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
Enumeration date
08/14/2007
Last updated
10/14/2020
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