Individual
MRS. CARRIE LIANNE YUDA THONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1900 BLUEGRASS AVE STE 300, LOUISVILLE, KY 40215-1183
(502) 977-5907
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
127268
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
3006638
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000933022
ANTHEM
KY
05
—
11301830
—
CO
01
—
50086583
PASSPORT
KY
01
—
5395790
AETNA
KY
05
—
7100142980
—
KY
Enumeration date
08/30/2006
Last updated
11/12/2021
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