MEDICARE: DEYANYS SERRA COLINA AGNP

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
1	363LA2200X	Adult Health Nurse Practitioner	4049693	KY

General Provider Information

NPI Number	:	1851255426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEYANYS SERRA COLINA AGNP

Provider Business Mailing Address
First Line	:	11202 PROFESSIONAL PARK DR APT 102
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-4486
Country	:	US
Telephone Number	:	502-299-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	11202 PROFESSIONAL PARK DR APT 102
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-4486
Country	:	US
Telephone Number	:	502-299-7812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1316332448 — DR. CHRISTOPHER HOWARD FENZEL MD
Practice Location Address:

7702 BARDSTOWN RD
LOUISVILLE, KY
40291-3207

Practice Phone: 502-928-4700
Practice Fax:

1063376267 — TREY WOODWARD PHARMD
Practice Location Address:

7702 BARDSTOWN RD
LOUISVILLE, KY
40291-3207

Practice Phone: 502-928-4700
Practice Fax:

1346103397 — DEIRDRA BROWN-RODRIGUEZ
Practice Location Address:

8903 ELI DR
LOUISVILLE, KY
40291-3190

Practice Phone: 516-639-9450
Practice Fax:

1376546317 — MAURICE K ALLGEIER III MD
Practice Location Address:

6425 BARDSTOWN RD
LOUISVILLE, KY
40291-3040

Practice Phone: 502-762-0498
Practice Fax: 502-762-0469

1235132283 — RHONDA K BUTTLEMAN MD
Practice Location Address:

6425 BARDSTOWN RD
LOUISVILLE, KY
40291-3040

Practice Phone: 502-762-0498
Practice Fax: 502-762-0469

1710981667 — JANICE N EKLUND APRN
Practice Location Address:

8113 BARDSTOWN RD
LOUISVILLE, KY
40291-3441

Practice Phone: 502-239-9920
Practice Fax: 502-239-9936

Directions to “ DEYANYS SERRA COLINA AGNP” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.