SAMUEL CHASE SHOPTAW

LOUISVILLE, KY
NPI1245949239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3018689)
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
Mr. SAMUEL CHASE SHOPTAW APRN, FNP-C
3900 KRESGE WAY STE 51
LOUISVILLE, KY 40207-4683
Phone number: 502-899-3623
Mailing Address
Mr. SAMUEL CHASE SHOPTAW APRN, FNP-C
409 CAPTAIN FRANK RD
NEW ALBANY, IN 47150-5047
Phone number: 502-435-9542