Mykka Mouser
Nurse Practitioner, Family in Louisville, KY. Individual provider (NPI-1).
NPI number1114697166
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1114697166
- Entity type
- Individual (NPI-1)
- Name
- Mykka Mouser
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2021
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3016391 | KY | Yes |
Practice location
10490 Shelbyville RdLouisville, KY 40223-3120
Phone 866-389-2727
Mailing address
10490 Shelbyville RdLouisville, KY 40223-3120
Phone 866-389-2727
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