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LIBERTY DELISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3018204
KY
363L00000X
Nurse Practitioner
71015307A
IN
363L00000X
Nurse Practitioner
APRN.CNP.0032148
OH

Other

Enumeration date
03/13/2023
Last updated
08/19/2025
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