Individual
ANNIE ELIZABETH SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
230 E BROADWAY, LOUISVILLE, KY 40202-2026
(502) 629-8990
Mailing address
3701 OLD BROWNSBORO HILLS RD, LOUISVILLE, KY 40241-1632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016897
KY
Other
Enumeration date
07/05/2022
Last updated
10/17/2022
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