Individual
MS. PATRICIA ANN PROVOST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1846
(502) 561-4263
Mailing address
7709 ADAM STEVEN CIR, LOUISVILLE, KY 40220-5714
(502) 493-9917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4159P
KY
363LF0000X
Family Nurse Practitioner
71001676A
IN
Other
Enumeration date
08/31/2005
Last updated
07/09/2007
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