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Individual

MRS. BRITTANY M. ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2866
(502) 394-6390
(502) 394-6388
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006751
KY
363L00000X
Nurse Practitioner
6751P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000857840
ANTHEM-CTS
KY
01
157465
SIHO-CTS
KY
01
201013000
MEDICAID-IN
KY
01
50063068
PASSPORT-CTS
KY
05
7100130740
KY
Enumeration date
06/09/2010
Last updated
11/13/2024
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