Healthcare Provider Details

I. General information

NPI: 1952554883
Provider Name (Legal Business Name): COURTNEY J SCHILMILLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY J. ANDRES RN

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ABRAHAM FLEXNER WAY SUITE 1200
LOUISVILLE KY
40202-3841
US

IV. Provider business mailing address

201 ABRAHAM FLEXNER WAY SUITE 1200
LOUISVILLE KY
40202-3841
US

V. Phone/Fax

Practice location:
  • Phone: 502-561-2180
  • Fax: 502-561-2190
Mailing address:
  • Phone: 502-561-2180
  • Fax: 502-561-2190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5866P
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71002780A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3005866
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number3005866
License Number StateKY
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3005866
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: