Individual
MRS. ELIZABETH ANGELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 HIGH RISE DR, LOUISVILLE, KY 40213
(502) 964-3688
Mailing address
100 HIGH RISE DR, LOUISVILLE, KY 40213-3251
(502) 964-3688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010431
KY
Other
Enumeration date
06/29/2016
Last updated
12/09/2020
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