Individual
RUBY MAELEE AEBERSOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3920 DUTCHMANS LN STE 309, LOUISVILLE, KY 40207-4702
(502) 588-4740
(502) 588-9537
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300073280
—
IN
05
—
7100788200
—
KY
Enumeration date
11/30/2021
Last updated
04/10/2023
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