Mcallister, Maureen

Mcallister, Maureen is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcallister, Maureen can be contacted via phone (502) 774-8631.

Contact Information

Primary practice address
2215 Portland Ave Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 772-8189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3001902 Kentucky

Profile Details

NPI number 1639175300
LBN Legal business name Mcallister, Maureen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 24th, 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 1639175300 NPPES
Kentucky MEDICAID 78009537
Kentucky MEDICAID 201032970

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