Individual
INGRID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 446-5462
(502) 394-3670
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
3007526
KY
363LF0000X
Family Nurse Practitioner
3007526
KY
363LP2300X
Primary Care Nurse Practitioner
3007526
KY
Other
Enumeration date
08/10/2012
Last updated
10/26/2020
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