Individual
CHASITY DELAVEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4400 BRECKENRIDGE LN STE 147, LOUISVILLE, KY 40218-4175
(502) 708-1904
(502) 708-2547
Mailing address
PO BOX 592, HILLVIEW, KY 40129-0592
(502) 994-4751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1140771
KY
363LF0000X
Family Nurse Practitioner
Primary
4011523
KY
Other
Enumeration date
03/23/2023
Last updated
11/15/2023
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