| NPI | 1467343749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RATUSNY Biller/Credentialing 502-401-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |