Individual
MINA BEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
5100 OUTER LOOP, LOUISVILLE, KY 40219-4056
(502) 968-6226
(502) 966-5562
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 968-6226
(502) 966-5562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100365200
—
KY
Enumeration date
09/25/2015
Last updated
03/19/2018
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