PRIDE HEALTH CARE SERVICE LLC NPI 1396134540

NPI Information

NPI: 1396134540
Provider Name: PRIDE HEALTH CARE SERVICE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
417 E LEE ST
LOUISVILLE, KY
ZIP 40217
Phone: (502) 409-5805
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PRIDE HEALTH CARE SERVICE LLC is a family nurse practitioner in Louisville, KY. PRIDE HEALTH CARE SERVICE LLC NPI is 1396134540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

417 E LEE ST
LOUISVILLE, KY
ZIP 40217-139
Phone: (502) 409-5805

The provider's authorized official is Amandeep Singh .
The authorized official title is Manager and has the following contact phone number (502) 565-4355.

The enumeration date for this NPI number is 1/12/2015 and was last updated on 1/12/2015.

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	3008170	KENTUCKY	Yes

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

NPI Synchronization or Removal

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