Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 3014031 | KY |
NPI | 1003451774 |
---|---|
Provider Name | Dr. Elizabeth Turcotte |
First Address | Chicago, IL 60677-6878 |
Second Address | Louisville, KY 40207-4707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2019 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300036125 | (05) | IN |
7100645170 | (05) | KY |
K289770 | MEDICARE (01) | KY |