Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 3011215 | KY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 3011215 | KY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 71007176A | IN |
N | 363LP2300X | Nurse Practitioner - Primary Care | 3011215 | KY |
NPI | 1063948677 |
---|---|
Provider Name | Lyndsay P Delaney |
First Address | Louisville, KY 40223-5132 |
Second Address | Louisville, KY 40207-4660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2017 |
Last Update Date | 03/12/2020 |