Provider Demographics
NPI:1801067020
Name:NURSE PRACTITIONER INITIATIVES INC
Entity type:Organization
Organization Name:NURSE PRACTITIONER INITIATIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUSKILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-957-3403
Mailing Address - Street 1:118 ROBIN CT
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-8914
Mailing Address - Country:US
Mailing Address - Phone:502-957-3403
Mailing Address - Fax:502-957-3403
Practice Address - Street 1:6000 HUNTING RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6308
Practice Address - Country:US
Practice Address - Phone:502-957-3403
Practice Address - Fax:502-957-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-15
Last Update Date:2008-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD2379OtherRAILROAD MEDICARE
DD2379OtherRAILROAD MEDICARE