MS. MARY A DEMURO ARNP NPI 1790702348

NPI Information

NPI: 1790702348
Provider Name: MS. MARY A DEMURO, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
530 S JACKSON ST
ROOM A3G11
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5237
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MS. Mary A Demuro, ARNP is an adult health nurse practitioner in Louisville, KY. MS. Mary A Demuro, ARNP NPI is 1790702348. 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:

530 S JACKSON ST
ROOM A3G11
LOUISVILLE, KY
ZIP 40202-675
Phone: (502) 852-5237

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/8/2007.

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	363LA2200X	Nurse Practitioner	Adult Health	4062P	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	Other Provider Identifier Issuer
1	P93256	MEDICARE UPIN	KENTUCKY
2	0366680	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
3	4062P	OTHER	KENTUCKY	ARNP LISCENSE

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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