Individual
HEATHER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
411 E CHESTNUT ST # 6, LOUISVILLE, KY 40202-1713
(502) 588-9587
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
1158619
KY
363LF0000X
Family Nurse Practitioner
Primary
3018348
KY
Other
Enumeration date
01/02/2023
Last updated
07/08/2024
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