person
Mrs. Tara Underwood Mudd, MSN,APRN,NP-C
Adult Health Nurse Practitioner in Louisville, Kentucky
NPI 1962789305

Tara Underwood Mudd is an Adult Health Nurse Practitioner based in Chicago, KY and is specialized in Adult Health. Tara Underwood Mudd practices in Louisville, KY and has the professional credentials of MSN,APRN,NP-C. The NPI Number for Tara Underwood Mudd is 1962789305 and holds a License No. 3007194 (Kentucky).

The current practice location address for Tara Underwood Mudd is 6420 Dutchmans Pkwy, Louisville, KY and can be reached out via phone at 502-891-8400 and via fax at 502-891-8401.

Location: 6420 Dutchmans Pkwy, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1962789305
Provider Name
Tara Underwood Mudd
Credential
MSN,APRN,NP-C
Provider Entity Type
Individual
Gender
Female
Address
6420 Dutchmans Pkwy, Louisville, KY, 60677-6351
Phone Number
502-891-8400
Fax Number
502-891-8401
Provider Enumeration Date
11/14/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201065430 01 IN MEDICAID - NCVA
7100192180 05 KY
50036576 01 KY PASSPORT - NCVA
000000747133 01 KY ANTHEM - CTS/NCVA
131915 01 KY SIHO-CTS/NCVA
institution
Provider Business Practice Location Address Details
Address
6420 Dutchmans Pkwy
City
State
Zip
40205-3372
Phone Number
502-891-8400
Fax Number
502-891-8401
person
Provider Business Mailing Address Details
Address
6420 Dutchmans Pkwy
City
State
Zip
40205-3372
Phone Number
502-891-8400
Fax Number
502-891-8401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
3007194 (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3007194 (Kentucky)
Definition
Definition to come...
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