PATRICIA DRERUP NP NPI 1356495212

NPI Information

NPI: 1356495212
Provider Name: PATRICIA DRERUP, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
110 S SALEM DR
BARDSTOWN, KY
ZIP 40004
Phone: (502) 348-3400
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Patricia Drerup, NP is a family nurse practitioner in Bardstown, KY. Patricia Drerup, NP NPI is 1356495212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 S SALEM DR
BARDSTOWN, KY
ZIP 40004-761
Phone: (502) 348-3400

The enumeration date for this NPI number is 1/22/2007 and was last updated on 5/15/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4270P	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0715635	MEDICARE PIN	KENTUCKY
2	78012242	MEDICAID	KENTUCKY
3	Y15515	MEDICARE UPIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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