Individual
TRAYCE M DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1405 BROWNS LN, LOUISVILLE, KY 40207
(502) 896-0495
Mailing address
9523 US HIGHWAY 42 UNIT 785, PROSPECT, KY 40059-5031
(502) 593-8877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100396870
—
KY
Enumeration date
01/28/2016
Last updated
03/29/2023
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