Individual
PAULA D. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3999 DUTCHMANS LN STE 4A, LOUISVILLE, KY 40207-4745
(502) 365-2655
(502) 365-2770
Mailing address
3999 DUTCHMANS LN STE 4A, LOUISVILLE, KY 40207-4745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004939
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78017068
—
KY
Enumeration date
08/30/2006
Last updated
07/23/2020
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