Individual
DEANNA JEAN VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
9880 ANGIES WAY STE 420, LOUISVILLE, KY 40241-2850
(502) 394-6200
Mailing address
359 S PEAK AVE, SHEPHERDSVILLE, KY 40165-6888
(502) 531-2280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3017659
KY
363LF0000X
Family Nurse Practitioner
Primary
3017659
KY
Other
Enumeration date
04/13/2022
Last updated
01/31/2025
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