Elliott-Gonzalez, Ann Christy
Elliott-Gonzalez, Ann Christy is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elliott-Gonzalez, Ann Christy can be contacted via phone (502) 774-8631.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212
Phone: (502) 774-8631
Fax: (502) 776-8912
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3003190 | Kentucky |
Profile Details
NPI number | 1629074372 |
---|---|
LBN Legal business name | Elliott-Gonzalez, Ann Christy |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Jan 6th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629074372 | NPPES |
Kentucky | MEDICAID | 78009511 |
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