ANNA S DERVISHI

LOUISVILLE, KY
NPI1548534647
Former NameANNA S. CARLTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3011124)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TN  16503)
Enumeration Date2012-03-07
Last Update Date2017-04-20
Business Address
-- ANNA S DERVISHI APRN
3901 DUTCHMANS LN STE 105
LOUISVILLE, KY 40207-4726
Phone number: 502-895-2334
Mailing Address
-- ANNA S DERVISHI APRN
PO BOX 6337
LOUISVILLE, KY 40206-0337
Phone number: 502-895-2334