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Individual

ANNA K BROSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 583-3951
(502) 583-3953
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014442
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3014442
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100750820
KY
Enumeration date
08/10/2021
Last updated
07/05/2022
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