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NPI Code Detail

MEDICARE: COURTNEY HOUSE

MEDICARE: COURTNEY HOUSE
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
1363LF0000XFamily Nurse Practitioner4011535KY

General Provider Information

NPI Number : 1386442432
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY HOUSE
Provider Business Mailing Address
First Line : 4124 HILLCREST TER
Second Line :
City : HENDERSON
State : KY
Zip : 42420-9229
Country : US
Telephone Number : 270-952-9020
Fax Number :
Provider Business Practice Location Address
First Line : 452 OLD CORYDON RD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4645
Country : US
Telephone Number : 270-826-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “ COURTNEY HOUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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