Provider Demographics
NPI:1952399628
Name:CAHILL, NANCY M (APRN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:CAHILL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LIBERTY ST STE 800
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1428
Mailing Address - Country:US
Mailing Address - Phone:502-585-4321
Mailing Address - Fax:502-566-6338
Practice Address - Street 1:225 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 305
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1846
Practice Address - Country:US
Practice Address - Phone:502-585-4321
Practice Address - Fax:502-566-6338
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001703A363LF0000X
KY3003915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78010709Medicaid
KYP00036551OtherRAILROAD MEDICARE
IN200467700Medicaid
KYP00042321OtherRAILROAD MEDICARE
KY00311012Medicare PIN
P87938Medicare UPIN
KY00546106Medicare Oscar/Certification
KY00314012Medicare PIN
KY00312012Medicare PIN
KY00310012Medicare PIN
KY00309012Medicare PIN
IN200467700Medicaid
IN126930TMedicare PIN
IN251440CMedicare PIN
KY00308012Medicare PIN
KY0640907Medicare PIN
IN228550NMedicare PIN
KYP00655129Medicare PIN
KY78010709Medicaid
KYP00042321OtherRAILROAD MEDICARE
KY0245415Medicare PIN