Individual
DEBORAH LYNN BLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
Mailing address
550 S JACKSON ST DEPT OB, 2ND FLOOR, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2517P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351403
ANTHEM PSC LOCATION
KY
01
—
000000542935
ANTHEM FOUNDATION
KY
01
—
50004862
PASSPORT SPECIALITY-PSC LOCATION
KY
01
—
50012922
PASSPORT-SPECIALTY FOUNDATION LOCATION
KY
01
—
50012926
PASSPORT-PCP FOUNDATION LOCATION
KY
05
—
78025178
—
KY
Enumeration date
01/09/2006
Last updated
09/29/2008
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