Provider Demographics
NPI:1811489321
Name:NEIGHBORHOOD NP LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GENNY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-509-5223
Mailing Address - Street 1:403 ROCKSTONE PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1614
Mailing Address - Country:US
Mailing Address - Phone:502-523-1799
Mailing Address - Fax:814-402-7021
Practice Address - Street 1:11400 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1314
Practice Address - Country:US
Practice Address - Phone:502-509-5223
Practice Address - Fax:814-402-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty