| Doctor Name: | TRICIA L. FLAKE |
| NPI Number: | 1003147539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 63309 |
| Business Practice Address: | 4402 Churchman Ave Suite 410 Louisville, KY - 402153102 |
| Business Phone Number: | 5023676322 |
| Business Fax Number: | 5023803843 |
| Mailing Address: | 4402 Churchman Ave, Suite 410 LOUISVILLE |
| State: | KY |
| Postal Code: | 402153102 |
| Phone Number: | 5023676322 |
| Fax Number: | 5023803843 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 07/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 63309 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |