| Ava Health And Wellness Pllc | |
|
417 Benjamin Ln Ste 101 Louisville KY 40222-4939 | |
| (502) 289-9306 | |
| Not Available |
| Full Name | Ava Health And Wellness Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 417 Benjamin Ln Ste 101, Louisville, Kentucky |
| Authorized Official Name and Position | Kathleen Berghausen (OWNER) |
| Authorized Official Contact | 5025580916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ava Health And Wellness Pllc 6376 Clore Ln Crestwood KY 40014-8042 Ph: () - | Ava Health And Wellness Pllc 417 Benjamin Ln Ste 101 Louisville KY 40222-4939 Ph: (502) 289-9306 |
| NPI Number | 1083491138 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 1052707999 |
|---|---|
| Medicare Enrollment ID | O20231010001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083491138 | NPI | - | NPPES |
| Provider Name | Barbara J Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285269340 PECOS PAC ID: 8820429111 Enrollment ID: I20200521001253 |
| Provider Name | Brittany Nicole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003546532 PECOS PAC ID: 6507242054 Enrollment ID: I20221006000995 |
| Provider Name | Isabel I Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877071 PECOS PAC ID: 0749656189 Enrollment ID: I20221026001163 |
| Provider Name | Kathleen Berghausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255948154 PECOS PAC ID: 2961898804 Enrollment ID: I20231010001325 |
| Provider Name | Allison Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588313464 PECOS PAC ID: 8022464957 Enrollment ID: I20231027002397 |
| Provider Name | Alanna Allman Culler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295760890 PECOS PAC ID: 2163870817 Enrollment ID: I20231120000592 |
| Provider Name | Angelina Wedding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356045637 PECOS PAC ID: 4981054046 Enrollment ID: I20240102002263 |
| Provider Name | Ann Marie Bowring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124646393 PECOS PAC ID: 5991115164 Enrollment ID: I20240130000242 |
| Provider Name | Douglas Clowes Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497516744 PECOS PAC ID: 9638518525 Enrollment ID: I20240411001577 |
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