Individual
TRACEY LYNN BRENNENSTUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 588-0982
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126171
CT
163W00000X
Registered Nurse
363594
OH
363LN0000X
Neonatal Nurse Practitioner
006114
CT
363LN0000X
Neonatal Nurse Practitioner
Primary
3006556
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201040490
—
IN
Enumeration date
09/15/2010
Last updated
02/25/2025
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