Individual
LINDSAY NICHOLE VONDERAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1621 NASHVILLE ST STE 106, RUSSELLVILLE, KY 42276-8871
(270) 946-1372
(270) 216-6185
Mailing address
9200 SHELBYVILLE RD STE 530, LOUISVILLE, KY 40222-5149
(502) 953-4799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F02190797
IN
363LF0000X
Family Nurse Practitioner
Primary
3014255
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02190797
AANP
IN
Enumeration date
02/14/2019
Last updated
02/22/2024
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