IndividualActive
Andrea Luckett, CRNA
NPI 1619951514 · Certified Registered Nurse Anesthetist · Louisville, KY
Provider details
- NPI number
- 1619951514
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 1077892 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3920 Dutchmans Ln
Louisville, KY 40207-4702
Phone: (502) 259-6710
Fax: (502) 259-6704
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 909
Louisville, KY 40201-0909
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.