Individual
EMILY M MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-6000
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
3005793
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
3005793
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929990
—
IN
05
—
7100060530
—
KY
Enumeration date
10/06/2008
Last updated
10/26/2020
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