Healthcare Provider Details

I. General information

NPI: 1982109765
Provider Name (Legal Business Name): EMILEE RUXER HARRIS AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILEE RUTH RUXER

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 DUTCHMANS LN
LOUISVILLE KY
40205-3271
US

IV. Provider business mailing address

6200 DUTCHMANS LN
LOUISVILLE KY
40205-3269
US

V. Phone/Fax

Practice location:
  • Phone: 502-456-6200
  • Fax: 502-456-6655
Mailing address:
  • Phone: 502-456-6200
  • Fax: 502-456-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71013355A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number3012097
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71013355A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71013355A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number71013355A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71013355A
License Number StateIN
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3012097
License Number StateKY
# 8
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3012097
License Number StateKY
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3012097
License Number StateKY
# 10
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3012097
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: