Individual
NELLY MERCEDES PEREZ-RICARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
7926 PRESTON HWY, SUITE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33006356
KY
363LF0000X
Family Nurse Practitioner
6356P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000710545
ANTHEM
KY
05
—
7100163020
—
KY
Enumeration date
02/02/2010
Last updated
10/06/2021
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