Individual
HAYDEE NILDA CANOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6500 PRESTON HWY, LOUISVILLE, KY 40219-1820
(502) 893-5502
(502) 721-8670
Mailing address
6500 PRESTON HWY, LOUISVILLE, KY 40219-1820
(502) 893-5502
(502) 721-8670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004013
KY
363LP0200X
Pediatric Nurse Practitioner
1091230
KY
Other
Enumeration date
11/29/2007
Last updated
12/07/2018
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