Individual
HAYLEY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5129 DIXIE HWY STE 100, LOUISVILLE, KY 40216-1727
(502) 447-3338
(502) 595-7007
Mailing address
100 EAST LIBERTY, SUITE 800, LOUISVILLE, KY 40202-1438
(502) 540-3339
(502) 479-1425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100358270
—
KY
01
—
K159411
MEDICARE
KY
Enumeration date
06/09/2015
Last updated
03/20/2018
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