Provider Demographics
NPI:1952111734
Name:BISCHOFF, KARLIE ANNE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KARLIE
Middle Name:ANNE
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KARLIE
Other - Middle Name:ANNE
Other - Last Name:BOLDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 776879
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6879
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:1050 E MARKET ST STE 301
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1874
Practice Address - Country:US
Practice Address - Phone:502-629-3099
Practice Address - Fax:502-629-3096
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4033895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily