Individual
ELIZABETH TAHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-5440
(502) 429-8585
(855) 656-7325
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1112333
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100571220
—
KY
Enumeration date
01/02/2019
Last updated
08/31/2023
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