Individual
MARY MICHELE GULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ONE AUDUBON PLAZA, LOUISVILLE, KY 40217
(502) 636-7449
(502) 636-7950
Mailing address
DEPT 86236, PO BOX 950195, LOUISVILLE, KY 40295-0195
(502) 473-2100
(502) 459-6461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2189A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74468752
—
KY
Enumeration date
12/29/2005
Last updated
03/11/2009
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