Elizabeth Mathis
Nurse Practitioner - Family Medicine
9510 Ormsby Station Rd Ste 100
Louisville
, Kentucky 40223-4082
Elizabeth Mathis
Nurse Practitioner - Family Medicine
9510 Ormsby Station Rd Ste 100
Louisville
, Kentucky 40223-4082
(502) 327-9100
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Elizabeth Mathis
- 9510 Ormsby Station Rd Ste 100
- Louisville, KY
- Zip : 40223-4082
- Phone : (502) 327-9100
Second Address
- Elizabeth Mathis
- 9510 Ormsby Station Rd Ste 100
- Louisville, KY
- Zip : 40223-4082
- Phone : (502) 327-9100
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FAQs
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What type of doctor is Elizabeth Mathis
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3011909 | KY |
National Provider Identifier
| NPI | 1003206046 |
|---|---|
| Provider Name | Elizabeth Mathis |
| First Address | Louisville, KY 40223-4082 |
| Second Address | Louisville, KY 40223-4082 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2015 |
| Last Update Date | 09/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 15070756 | CAQH (01) | |
| 7100719560 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.