Individual
MADELYS HERNANDEZ URQUIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Mailing address
1418 GARVEY DR, LOUISVILLE, KY 40216-3924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3017009
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3017009
KY
Other
Enumeration date
09/08/2022
Last updated
11/15/2024
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