Burres, Stephanie

Burres, Stephanie is an individual health care provider with primary practice located at 2529 Six Mile Ln , Louisville KY 40220-2934. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burres, Stephanie can be contacted via phone (502) 491-5560.

Contact Information

Primary practice address
2529 Six Mile Ln Louisville KY 40220-2934
Phone: (502) 491-5560
Fax: (502) 491-0214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3008764 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 3008764 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN3008764 Kentucky

Profile Details

NPI number 1518375443
LBN Legal business name Burres, Stephanie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated May 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518375443 NPPES
Kentucky MEDICAID 7100312070

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