Individual
MISS SARA BROOKE CANCHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4010 DUPONT CIR STE L07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Mailing address
4010 DUPONT CIR STE L07, LOUISVILLE, KY 40207-4812
(502) 895-6559
(502) 895-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
3006713
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3006713
KY
Other
Enumeration date
12/09/2010
Last updated
06/05/2023
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