KLARISA NICOLE STOUDEMIRE

LOUISVILLE, KY
NPI1750619995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3006498)
Enumeration Date2009-11-30
Last Update Date2021-01-22
Business Address
Mrs. KLARISA NICOLE STOUDEMIRE ARNP
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401
Mailing Address
Mrs. KLARISA NICOLE STOUDEMIRE ARNP
PO BOX 776347
CHICAGO, IL 60677-6347
Phone number: 502-588-9490