Individual
MISTI ALSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 ABRAHAM FLEXNER WAY STE 905, LOUISVILLE, KY 40202-3803
(502) 367-3360
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 367-3360
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3014958
KY
363LA2200X
Adult Health Nurse Practitioner
71011086A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100844860
—
KY
Enumeration date
01/12/2021
Last updated
01/30/2023
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