| Liberty Delisle, APRN | |
|
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
| (859) 301-4000 | |
| (859) 301-4001 |
| Full Name | Liberty Delisle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346941945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71015307A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 3018204 (Kentucky) | Primary |
| Entity Name | St Elizabeth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
| Entity Name | Kiosk Medicine Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Delisle, APRN Po Box 636324, Cincinnati, OH 45263-6324 Ph: (859) 301-4000 | Liberty Delisle, APRN 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-4000 |
Deborah Elaine Bliss, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6900 | |
Lyndsey Lang, MS, RN, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2423 Fax: 859-301-2554 | |
Mrs. Anita Kay Phillips, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-8074 Fax: 859-301-4945 | |
Kristin Legrand, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2250 | |
Louise M Cortland, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-757-2927 Fax: 859-341-0203 | |
Alexandra Michelle Wiesner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-426-4140 | |
Deanna Lynne Winter, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Medical Village Drive, Edgewood, KY 41017 Phone: 859-331-3353 Fax: 859-331-3326 |