Individual
MS. MARY VIRGINIA BRILLIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1941 BISHOP LN, LOUISVILLE, KY 40218-1922
(502) 375-3242
(502) 375-4331
Mailing address
1941 BISHOP LN, STE. 205, LOUISVILLE, KY 40218-1922
(502) 375-3242
(502) 375-4331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005276
KY
Other
Enumeration date
10/22/2007
Last updated
02/04/2011
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