Provider Demographics
NPI:1790709236
Name:TUDOR, LAURA M (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:M
Last Name:TUDOR
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2700 STANLEY GAULT PKWY STE 129
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5176
Mailing Address - Country:US
Mailing Address - Phone:502-489-6613
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:3900 KRESGE WAY
Practice Address - Street 2:SUITE 51
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-259-5955
Practice Address - Fax:502-259-5953
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3004491363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY200893710OtherANTHEM INDIANA MEDICAID- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY000023035LOtherHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY78016110OtherMEDICAID KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KYP00706053OtherRAILROAD MEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY102637OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY200893710OtherMD WISE- NNIKY
KY200893710Medicaid
KY200893710OtherHEALTHY INDIANA PLAN- NNIKY
KY200893710OtherMANAGED HEALTH SERVICES- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY2170111OtherCIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY50022597OtherPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
000000507656OtherANTHEM
KY00533107OtherANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY00533107OtherMEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY3697392000OtherPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY00533107OtherMEDICARE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY102637OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY