Provider Demographics
NPI:1649955519
Name:ABUNDANT HEALTH FAMILY CARE
Entity type:Organization
Organization Name:ABUNDANT HEALTH FAMILY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:E
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN FNP
Authorized Official - Phone:502-384-0931
Mailing Address - Street 1:2300 HURSTBOURNE VILLAGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1837
Mailing Address - Country:US
Mailing Address - Phone:502-384-0931
Mailing Address - Fax:502-384-0485
Practice Address - Street 1:2300 HURSTBOURNE VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1837
Practice Address - Country:US
Practice Address - Phone:502-384-0931
Practice Address - Fax:502-384-0485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care