Individual
ANNA NISWONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4123 DUTCHMANS LN, LOUISVILLE, KY 40207-4707
(502) 629-1234
Mailing address
4123 DUTCHMANS LN, LOUISVILLE, KY 40207-4707
(502) 629-1234
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
06/02/2025
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