Individual
ANDREA MONIQUE HUEY-FAHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007101
KY
363LF0000X
Family Nurse Practitioner
Primary
3007101
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55431062
—
NM
05
—
7100277260
—
KY
Enumeration date
08/23/2011
Last updated
03/29/2023
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