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Individual

TAJA ELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5129 DIXIE HWY STE 201, LOUISVILLE, KY 40216-1727
(502) 430-6223
(502) 792-7272
Mailing address
5006 MIDDLESEX DR, LOUISVILLE, KY 40245-6449
(216) 269-3503

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014731
KY
363L00000X
Nurse Practitioner
APRN.CNP.023423
OH

Other

Enumeration date
09/13/2018
Last updated
01/21/2021
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