Individual
MAGGIE MARIE WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
231 E CHESTNUT ST STE 334, LOUISVILLE, KY 40202-1821
(502) 882-9237
(502) 893-3900
Mailing address
7313 MANSLICK RD, LOUISVILLE, KY 40214-4137
(502) 263-3862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3018818
KY
363LF0000X
Family Nurse Practitioner
Primary
3018818
KY
Other
Enumeration date
02/09/2023
Last updated
04/19/2023
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