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Individual

MRS. DANA MARIE NEWHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3 AUDUBON PLAZA DR STE 100, LOUISVILLE, KY 40217
(502) 636-8266
(502) 636-8260
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5064
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003505
KY
363L00000X
Nurse Practitioner
4704264093
MI
363L00000X
Nurse Practitioner
APN0000012075
TN
363LA2200X
Adult Health Nurse Practitioner
3003505
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201153420
IN
05
7100238130
KY
Enumeration date
08/31/2006
Last updated
10/26/2020
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