NPI 1710164447 · live from the CMS NPI Registry
Bone Marrow Transplant
Nurse Practitioner, Pediatrics in Louisville, KY. National Provider Identifier 1710164447, active.
NPI record
| NPI | 1710164447 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 601 S Floyd St, Suite 403, Louisville, KY 40202 |
| Practice phone | 502-629-7750 |
| Enumerated | January 24, 2008 |
| Last updated | February 5, 2008 |
| Authorized official | Salvatore Bertolone, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — (KY) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | — (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.