Individual
ANNICA YVETTE SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3165 S 2ND ST, LOUISVILLE, KY 40208-1446
(502) 689-0838
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1145408
KY
163W00000X
Registered Nurse
226525
TN
363LF0000X
Family Nurse Practitioner
29300
TN
363LF0000X
Family Nurse Practitioner
Primary
4010291
KY
Other
Enumeration date
10/09/2017
Last updated
02/05/2024
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