Individual
NANCY R LITTLEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3004691
KY
363LF0000X
Family Nurse Practitioner
Primary
3004691
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000381217
BCBS
KY
01
—
000000596966
ANTHEM
KY
05
—
200869400
—
IN
01
—
311192100
BLACK LUNG
KY
01
—
3547253000
PASSPORT ADVANTAGE
KY
01
—
50021013
PASSPORT
KY
05
—
78015260
—
KY
Enumeration date
05/30/2006
Last updated
09/07/2023
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