Individual
STEPHANIE BURRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2529 SIX MILE LN, LOUISVILLE, KY 40220-2934
(502) 491-5560
(502) 491-0214
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7366
(502) 568-7114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN3008764
KY
363LA2200X
Adult Health Nurse Practitioner
3008764
KY
363LG0600X
Gerontology Nurse Practitioner
3008764
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100312070
—
KY
Enumeration date
07/23/2014
Last updated
05/18/2015
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