Individual
BREANNA RENA LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13050 MAGISTERIAL DR STE 100, LOUISVILLE, KY 40223-5181
(502) 225-3299
(502) 600-4373
Mailing address
39 BRADLEY ST, STANFORD, KY 40484-6529
(606) 273-7255
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1177497
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4046228
KY
Other
Enumeration date
02/26/2025
Last updated
09/10/2025
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