Individual
RONNITA M USHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 BISHOP LN STE 900, LOUISVILLE, KY 40218-1963
(502) 588-8700
(502) 588-8703
Mailing address
501 E BROADWAY, STE. 290, LOUISVILLE, KY 40202-1785
(502) 217-5134
(502) 217-5137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1098853
KY
363LF0000X
Family Nurse Practitioner
Primary
3006096
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000009521
INDIANA MEDICAID
IN
01
—
3751481000
PASSPORT ADVANTAGE
KY
01
—
50026724
PASSPORT
KY
05
—
7100100270
—
KY
01
—
K007602
MEDICARE
KY
Enumeration date
07/16/2009
Last updated
12/28/2017
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