Individual
EVANGELINE CERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
315 E BROADWAY, LOUISVILLE, KY 40202-1703
(502) 629-2500
(502) 629-3166
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-1703
(502) 629-2500
(502) 629-3166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3773P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008919
—
KY
Enumeration date
04/25/2006
Last updated
07/08/2007
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