Individual
CHERRAE DANYEL WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(606) 492-3088
Mailing address
161 DORY DR, SALVISA, KY 40372-9713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3016665
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3016665
KY
363LG0600X
Gerontology Nurse Practitioner
3016665
KY
Other
Enumeration date
09/23/2021
Last updated
06/07/2022
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