person
Mrs. Klarisa Nicole Stoudemire, ARNP
Family Nurse Practitioner in Louisville, Kentucky
NPI 1750619995

Klarisa Nicole Stoudemire is a Family Nurse Practitioner based in Chicago, KY and is specialized in Family. Klarisa Nicole Stoudemire practices in Louisville, KY and has the professional credentials of ARNP. The NPI Number for Klarisa Nicole Stoudemire is 1750619995 and holds a License No. 3006498 (Kentucky).

The current practice location address for Klarisa Nicole Stoudemire is 3015 Wilson Ave, Louisville, KY and can be reached out via phone at 502-774-4401 and via fax at 502-772-4783.

Location: 3015 Wilson Ave, Louisville, KY, 60677-6347
person
Provider Profile Details
NPI Number
1750619995
Provider Name
Klarisa Nicole Stoudemire
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
3015 Wilson Ave, Louisville, KY, 60677-6347
Phone Number
502-774-4401
Fax Number
502-772-4783
Provider Enumeration Date
11/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
229581 01 KY SIHO
50132455 01 KY PASSPORT
300007238 05 IN
7100172130 05 KY
000001092683 01 KY ANTHEM
K008131 01 KY MEDICARE
institution
Provider Business Practice Location Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-774-4401
Fax Number
502-772-4783
person
Provider Business Mailing Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-774-4401
Fax Number
502-772-4783
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3006498 (Kentucky)
Definition
Definition to come...
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