Individual
VICKI LYNN LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(833) 471-8264
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(833) 471-8264
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3003839
KY
363LW0102X
Women's Health Nurse Practitioner
71001441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200862460
—
IN
Enumeration date
05/09/2006
Last updated
08/14/2023
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