Mader, Patricia C

Mader, Patricia C is an individual health care provider with primary practice located at 11209 Vista Greens Dr , Louisville KY 40241-3444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mader, Patricia C can be contacted via phone (502) 386-0921.

Contact Information

Primary practice address
11209 Vista Greens Dr Louisville KY 40241-3444
Phone: (502) 386-0921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4150P Kentucky

Profile Details

NPI number 1285639005
LBN Legal business name Mader, Patricia C
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Dec 19th, 2007 - about 19 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 1285639005 NPPES
Kentucky Other 000000360626 ANTHEM
Kentucky Other 50008080 ANTHEM
Kentucky Other 000000486305 ANTHEM
Kentucky MEDICAID 78011855 ANTHEM
Kentucky Other 2646419000 ANTHEM

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