MARYLYNN K CRENSHAW FNP PMHNP NPI 1669704110

NPI Information

NPI: 1669704110
Provider Name: MARYLYNN K CRENSHAW, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10510 LA GRANGE RD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 253-7607
Get Directions

Marylynn K Crenshaw, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Louisville, KY with 29 years of experience. Marylynn K Crenshaw, FNP, PMHNP NPI is 1669704110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

10510 LA GRANGE RD
LOUISVILLE, KY
ZIP 40223-228
Phone: (502) 253-7607

The NPI 1669704110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2010 and was last updated on 1/12/2022.

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	3002465	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	2465P	KENTUCKY	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3002465	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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