Individual provider · Type 1 NPI

Mary Rose J. Nieves

Specialist · Louisville, KY

NPI number 1679654263 Active

Practice location

3717 Taylorsville Rd
Louisville, KY 40220-1333

Call (502) 459-0205 Map

Fax (502) 589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679654263

Mary Rose J. Nieves's National Provider Identifier is 1679654263, issued on Oct 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.