Individual
BRANDI M GOWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3950 KRESGE WAY STE 207, LOUISVILLE, KY 40207-4637
(502) 893-0220
(502) 893-0563
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011899
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100513010
—
KY
Enumeration date
09/05/2017
Last updated
01/14/2020
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