Individual
GEORGIA ANN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
850 BARRET AVE, SUITE #301, LOUISVILLE, KY 40204-1745
(502) 574-6699
(502) 574-5922
Mailing address
850 BARRET AVE, SUITE #301, LOUISVILLE, KY 40204-1745
(502) 574-6699
(502) 574-5922
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4328P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013091
—
KY
Enumeration date
07/28/2009
Last updated
07/28/2009
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