Individual
NESTOR VELIZ TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1050 E MARKET ST, LOUISVILLE, KY 40206-1874
(502) 588-8900
Mailing address
10115 STONESTREET ROAD, LOUISVILLE, KY 40272-2973
(502) 821-6804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017845
KY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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