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GLADSTONE MOBILE HEALTHCARE LLC NPI 1295302636


NPI Information

NPI: 1295302636
Provider Name: GLADSTONE MOBILE HEALTHCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2500 W BROADWAY STE 100
LOUISVILLE, KY
ZIP 40211
Phone: (502) 888-9181
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GLADSTONE MOBILE HEALTHCARE LLC is a family nurse practitioner in Louisville, KY. GLADSTONE MOBILE HEALTHCARE LLC NPI is 1295302636. The provider is registered as an organization entity type.

The provider's business location address is:

2500 W BROADWAY STE 100
LOUISVILLE, KY
ZIP 40211-184
Phone: (502) 888-9181

The provider's authorized official is Latrice Anderson .
The authorized official title is Registered Nurse/owner and has the following contact phone number (502) 888-9181.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 8/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareNo
2174400000XSpecialistNo
3363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.