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NPI Code Detail

MEDICARE: MRS. BRITTANY M. ROSS ARNP

MEDICARE:  MRS. BRITTANY M. ROSS  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner3006751KY
2363L00000XNurse Practitioner6751PKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250063068OTHERKYPASSPORT-CTS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4157465OTHERKYSIHO-CTS
5000000857840OTHERKYANTHEM-CTS

General Provider Information

NPI Number : 1588984884
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY M. ROSS ARNP
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 4915 NORTON HEALTHCARE BLVD STE 301
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2866
Country : US
Telephone Number : 502-394-6390
Fax Number : 502-394-6388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 11/13/2024

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Directions to “ MRS. BRITTANY M. ROSS ARNP” Practice Location

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