Individual
MRS. MAUREEN ELIZABETH HILSENRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1170 E BROADWAY, SUITE 100, LOUISVILLE, KY 40204-1744
(502) 583-4700
(502) 583-8434
Mailing address
PO BOX 43905, LOUISVILLE, KY 40253-0905
(502) 538-4700
(502) 583-8434
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3246P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333453
ANTHEM BLUE CROSS BLUE SH
KY
01
—
P00350411
MEDICARE RAILROAD
KY
Enumeration date
11/02/2005
Last updated
03/05/2014
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