Individual
MARYLYNN K CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
10510 LA GRANGE RD, LOUISVILLE, KY 40223-1228
(502) 253-7607
Mailing address
6008 REGAL SPRINGS DR, LOUISVILLE, KY 40205-3319
(502) 299-1030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2465P
KY
363LF0000X
Family Nurse Practitioner
3002465
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3002465
KY
Other
Enumeration date
02/09/2010
Last updated
02/04/2026
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