Individual
MRS. SANDRA ELDER UTSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9529
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1076668
KY
363L00000X
Nurse Practitioner
Primary
3006888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000726728
ANTHEM - NRP
KY
01
—
000057121KD
HUMANA - NRP
KY
01
—
127895
SIHO - NRP
KY
01
—
50034295
PASSPORT - NRP
KY
05
—
7100183390
—
KY
Enumeration date
07/27/2011
Last updated
01/27/2025
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