Provider Demographics
NPI:1255329611
Name:GROVES, PATRICIA FLEMING (NP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:FLEMING
Last Name:GROVES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 PARK PL
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-8566
Mailing Address - Country:US
Mailing Address - Phone:502-243-8469
Mailing Address - Fax:
Practice Address - Street 1:901 W BROADWAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2028
Practice Address - Country:US
Practice Address - Phone:502-584-2257
Practice Address - Fax:502-589-0733
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1789P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily