Individual
MRS. NICOLE ALEXIS ROAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206
(502) 287-4000
(502) 287-5095
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206
(502) 287-4000
(502) 287-5095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3009425
KY
Other
Enumeration date
09/21/2015
Last updated
12/03/2018
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