On-Site Dermatology Consultants in Louisville - Nurse Practitioner
On-Site Dermatology Consultants - NPI 1134140759
On-Site Dermatology Consultants is a Nurse Practitioner in Louisville, Kentucky. On-Site Dermatology Consultants practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for On-Site Dermatology Consultants is 1134140759. The last update date is 2008-04-20.
On-Site Dermatology Consultants's current location address is 11209 Vista Greens Dr, Louisville, Kentucky. You can contact this provider via phone number 5023226678 and fax number 5023940086. The mailing address for On-Site Dermatology Consultants is 11209 Vista Greens Dr, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | On-Site Dermatology Consultants |
|---|---|
| Address | 11209 Vista Greens Dr, Louisville, Kentucky |
| Phone Number | 5023226678 |
| Fax Number | 5023940086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mader C. Patricia |
| Credentials | ARNP |
| Telephone Number | 5023226678 |
NPI Number Detail
| NPI Number | 1134140759 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 11209 Vista Greens Dr |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402413444 |
| Phone Number | 5023226678 |
| Fax Number | 5023940086 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4150P |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF3020 | KY | RAILROAD MEDICARE | |
| 484649 | KY | ANTHEM | |
| 78905320 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to On-Site Dermatology Consultants by the Centers for Medicare & Medicaid Services?
The On-Site Dermatology Consultants has been assigned the NPI (National Provider Identifier) 1134140759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where On-Site Dermatology Consultants is located?
The On-Site Dermatology Consultants is situated at the following address: 11209 Vista Greens Dr, Louisville, KY, 402413444.
What is On-Site Dermatology Consultants's specialized field of practice, and what is the corresponding taxonomy classification code?
The On-Site Dermatology Consultants's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date was the 1134140759 assigned to On-Site Dermatology Consultants?
The On-Site Dermatology Consultants was issued its 1134140759 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to On-Site Dermatology Consultants last refreshed?
The information related to the On-Site Dermatology Consultants, including its address, specialty, and other relevant details, was last updated on 2008-04-20.