Doctor Name: | ALISON CRESS |
NPI Number: | 1093189920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3009901 |
Business Practice Address: | 52 Thompson Ave Fort Mitchell, KY - 410172709 |
Business Phone Number: | 8593226987 |
Business Fax Number: | |
Mailing Address: | 140 Whittington Pkwy 100, LOUISVILLE |
State: | KY |
Postal Code: | 402224930 |
Phone Number: | 5023279100 |
Fax Number: | 8556328329 |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3009901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |