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Marisa L Crenshaw, APRN
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1124295852

Marisa L Crenshaw is a Psychiatric/Mental Health Nurse Practitioner based in Louisville, KY and is specialized in Psychiatric/Mental Health. Marisa L Crenshaw practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Marisa L Crenshaw is 1124295852 and holds a License No. 3007792 (Kentucky).

The current practice location address for Marisa L Crenshaw is 5722 Outer Loop, Louisville, KY and can be reached out via phone at 502-921-0222 and via fax at 502-921-0222.

Location: 5722 Outer Loop, Louisville, KY, 40219-4156
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Provider Profile Details
NPI Number
1124295852
Provider Name
Marisa L Crenshaw
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5722 Outer Loop, Louisville, KY, 40219-4156
Phone Number
502-921-0222
Fax Number
502-921-0222
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100230720 05 KY
201258840 05 IN
institution
Provider Business Practice Location Address Details
Address
5722 Outer Loop
City
State
Zip
40219-4156
Phone Number
502-921-0222
Fax Number
502-921-0222
person
Provider Business Mailing Address Details
Address
5722 Outer Loop
City
State
Zip
40219-4156
Phone Number
502-921-0222
Fax Number
502-921-0222
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3007792 (Kentucky)
Definition
Definition to come...
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