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Individual

PAULA B CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1230 WOODLAND DR STE 207, ELIZABETHTOWN, KY 42701-2792
(270) 600-7001
(270) 600-7002
Mailing address
4321 S DIXIE HWY, HORSE CAVE, KY 42749-1482
(270) 834-0682

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3005687
KY
363LP2300X
Primary Care Nurse Practitioner
Primary
3005687
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11916486
CAQH
05
710068320
KY
Enumeration date
12/09/2008
Last updated
04/07/2025
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