Individual
EMMALEE R BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
834 E BROADWAY, LOUISVILLE, KY 40204-1072
(502) 583-1981
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3011718
KY
363LF0000X
Family Nurse Practitioner
Primary
3011718
KY
363LF0000X
Family Nurse Practitioner
71007504A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122620021
IN MEDICARE
IN
05
—
300007031
—
IN
05
—
7100479590
—
KY
01
—
K120901
KY MEDICARE
KY
Enumeration date
09/18/2017
Last updated
07/01/2024
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