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Dzanan Gusic, FNP
Family Nurse Practitioner in Prospect, Kentucky
NPI 1558669606

Dzanan Gusic is a Family Nurse Practitioner based in Prospect, KY and is specialized in Family. Dzanan Gusic practices in Prospect, KY and has the professional credentials of FNP. The NPI Number for Dzanan Gusic is 1558669606 and holds a License No. 3006890 (Kentucky).

The current practice location address for Dzanan Gusic is 9501 Norton Commons Blvd, Prospect, KY and can be reached out via phone at 502-618-2472.

Location: 9501 Norton Commons Blvd, Prospect, KY, 40059-7020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558669606
Provider Name
Dzanan Gusic
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
9501 Norton Commons Blvd, Prospect, KY, 40059-7020
Phone Number
502-618-2472
Fax Number
Provider Enumeration Date
03/13/2011
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K022370 01 KY MEDICARE- NICC
institution
Provider Business Practice Location Address Details
Address
9501 Norton Commons Blvd
City
Prospect
State
Kentucky
Zip
40059-7020
Phone Number
502-618-2472
Fax Number
person
Provider Business Mailing Address Details
Address
9501 Norton Commons Blvd
City
Prospect
State
Kentucky
Zip
40059-7020
Phone Number
502-618-2472
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3006890 (Kentucky)
Definition
Definition to come...
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