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Individual

SUSAN P DILDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
411 E CHESTNUT ST # 5B, LOUISVILLE, KY 40202-1713
(502) 588-2330
(502) 588-9513
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006614
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3006614
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201175730
IN
05
7100021730
KY
Enumeration date
05/21/2007
Last updated
10/13/2020
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