Individual
DZANAN GUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9501 NORTON COMMONS BLVD, PROSPECT, KY 40059-7020
(502) 618-2472
Mailing address
9501 NORTON COMMONS BLVD, PROSPECT, KY 40059-7020
(502) 618-2472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K022370
MEDICARE- NICC
KY
Enumeration date
03/13/2011
Last updated
11/05/2024
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