Healthcare Provider Details

I. General information

NPI: 1932757440
Provider Name (Legal Business Name): SARAH J ZURKUHLEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 12/21/2021
Certification Date: 12/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8620 BIGGIN HILL LN
LOUISVILLE KY
40220-4117
US

IV. Provider business mailing address

6641 DIXIE HWY
LOUISVILLE KY
40258-3909
US

V. Phone/Fax

Practice location:
  • Phone: 502-364-0902
  • Fax: 502-364-0099
Mailing address:
  • Phone: 502-364-0902
  • Fax: 502-364-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013632
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: