Provider Demographics
NPI:1932982337
Name:ALBERTSEN, KACIE LYNNE (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:KACIE
Middle Name:LYNNE
Last Name:ALBERTSEN
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:KACIE
Other - Middle Name:LYNNE
Other - Last Name:FALLOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10115 SPRINGBARK DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2189
Mailing Address - Country:US
Mailing Address - Phone:502-593-3666
Mailing Address - Fax:
Practice Address - Street 1:676 S FLOYD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1840
Practice Address - Country:US
Practice Address - Phone:502-629-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4008523363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care