Drerup, Patricia

Drerup, Patricia is an individual health care provider with primary practice located at 110 S Salem Dr , Bardstown KY 40004-1761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Drerup, Patricia can be contacted via phone (502) 348-3400.

Contact Information

Primary practice address
110 S Salem Dr Bardstown KY 40004-1761
Phone: (502) 348-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4270P Kentucky

Profile Details

NPI number 1356495212
LBN Legal business name Drerup, Patricia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated May 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356495212 NPPES
Kentucky MEDICAID 78012242

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