Individual
ERNESTO GONZALEZ CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7019 ALMA JUNE WAY, LOUISVILLE, KY 40228-2389
(502) 302-8512
Mailing address
7019 ALMA JUNE WAY, LOUISVILLE, KY 40228-2389
(502) 302-8512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018426
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3018426
KY
363LG0600X
Gerontology Nurse Practitioner
3018426
KY
363LP2300X
Primary Care Nurse Practitioner
3018426
KY
Other
Enumeration date
09/28/2022
Last updated
03/30/2026
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