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Individual

PRECIOUS SARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
609 W MAIN ST STE 305, LOUISVILLE, KY 40202-2951
(502) 631-8015
(781) 523-2494
Mailing address
609 W MAIN ST STE 305, LOUISVILLE, KY 40202-2951
(502) 631-8015

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018017
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100847380
KY
01
K406870
MEDICARE
KY
Enumeration date
07/19/2022
Last updated
03/06/2023
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