Individual
AUDREY JOIE CANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3288 ILLINOIS AVE, LOUISVILLE, KY 40213-1014
(502) 214-3925
Mailing address
3288 ILLINOIS AVE, LOUISVILLE, KY 40213-1014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4034079
KY
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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