Individual
YLLENA MARIE NOVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4612 CHAMBERLAIN LN # 200, LOUISVILLE, KY 40241-1071
(502) 996-4480
Mailing address
2001 HOMEWOOD DR, LOUISVILLE, KY 40223-1366
(502) 648-5514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1159096
KY
363L00000X
Nurse Practitioner
Primary
3014120
KY
363LF0000X
Family Nurse Practitioner
3014120
KY
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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