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NPI Code Detail

MEDICARE: REBECCA F OLDS ARNP

MEDICARE:   REBECCA F OLDS  ARNP
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 Practitioner3107PKY

General Provider Information

NPI Number : 1952392037
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA F OLDS ARNP
Provider Business Mailing Address
First Line : 257 BLACKBERRY CIR
Second Line :
City : MT WASHINGTON
State : KY
Zip : 40047-6837
Country : US
Telephone Number : 502-538-9819
Fax Number :
Provider Business Practice Location Address
First Line : 3430 NEWBURG RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-2497
Country : US
Telephone Number : 502-451-1100
Fax Number : 502-451-1181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 07/08/2007

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Directions to “ REBECCA F OLDS ARNP” Practice Location

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