Individual
FERNANDA SOUZA TRIPURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3039 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
(812) 941-3080
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3015623
KY
363LF0000X
Family Nurse Practitioner
Primary
71009538A
IN
Other
Enumeration date
10/25/2019
Last updated
05/11/2023
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