IndividualActive
Bethany Petrey
NPI 1801664479 · Advanced Practice Midwife · Louisville, KY
Provider details
- NPI number
- 1801664479
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 09000449C (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone: (502) 893-1270
Fax: (502) 894-1321
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776351
Chicago, IL 60677-6351
Additional practice locations (1)
- 200 E Chestnut StLouisville, KY 40202-1831Phone: (502) 629-6065Fax: (502) 894-1321
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.