Individual
DR. ELIZABETH ANN MATHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
6114 BAY PINE DR, LOUISVILLE, KY 40219-4619
(502) 297-1944
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3015327
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015327
APRN LICENSE
KY
Enumeration date
10/15/2020
Last updated
09/28/2021
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