Individual
DONNA A HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARPN
Contact information
Practice address
9880 ANGIES WAY STE 420, LOUISVILLE, KY 40241
(502) 394-6200
(502) 394-6210
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
1078784
IN
261QP2300X
Primary Care Clinic/Center
1078784
KY
363LF0000X
Family Nurse Practitioner
Primary
3007674
KY
Other
Enumeration date
09/04/2012
Last updated
12/27/2018
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