Individual
MARCIA LYNNE SHROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
122 N WATTERSON TRL, LOUISVILLE, KY 40243-2700
(502) 314-7050
(502) 245-7992
Mailing address
122 N WATTERSON TRL, LOUISVILLE, KY 40243-2700
(502) 314-7050
(502) 245-7992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
02529
NM
363LA2200X
Adult Health Nurse Practitioner
124312
TX
363LA2200X
Adult Health Nurse Practitioner
18795
SC
363LA2200X
Adult Health Nurse Practitioner
201505322NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
3004426
KY
363LA2200X
Adult Health Nurse Practitioner
5009232
NC
363LA2200X
Adult Health Nurse Practitioner
99063696A
IN
363LA2200X
Adult Health Nurse Practitioner
CNP151106
ME
363LP2300X
Primary Care Nurse Practitioner
COA.14296-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18795
STATE ARNP LICENSE
SC
01
—
201504071RN
OR RN LICENSE
OR
01
—
201505322NP-PP
OR NP LICENSE
OR
01
—
3004426
STATE APRN LICENSE
KY
01
—
5009232
NC NP LICENSE
NC
05
—
7100214550
—
KY
01
—
71005296A
IN NP LICENSE
IN
01
—
AP124312
STATE ARNP LICENSE
TX
01
—
CNP-02529
STATE ARNP LICENSE
NM
01
—
CNP151106
NP LICENSE
ME
01
—
COA.14296-NP
STATE NP LICENSE
OH
Enumeration date
03/28/2007
Last updated
07/26/2021
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