Individual
MYRA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7926 PRESTON HWY, STE. 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003295
KY
Other
Enumeration date
08/28/2008
Last updated
07/15/2014
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