Individual
ALICIA JEANNE WALDRAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017979
KY
Other
Enumeration date
04/13/2019
Last updated
06/12/2023
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