Individual
ROBERTO JOSE GRAU VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3939 7TH STREET RD, LOUISVILLE, KY 40216-4103
(502) 883-6800
(502) 384-2316
Mailing address
3939 7TH STREET RD, LOUISVILLE, KY 40216-4103
(502) 883-6800
(502) 384-2316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017103
KY
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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