Taree Patillo
Licensed Practical Nurse in Louisville, KY. Individual provider (NPI-1).
NPI number1982160453
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1982160453
- Entity type
- Individual (NPI-1)
- Name
- Taree Patillo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2053107 | KY | Yes |
Practice location
410 Bermuda LnLouisville, KY 40213-3318
Phone 502-203-5130
Mailing address
410 Bermuda LnLouisville, KY 40213-3318
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All 123 Licensed Practical Nurse providers in Louisville · All 27,512 providers in Louisville
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