Individual provider · Type 1 NPI

Raul P. Ibanez Hernandez Sr., APRN

Gerontology Nurse Practitioner · Louisville, KY

NPI number 1699571083 Active

Practice location

3828 Bardstown Rd
Louisville, KY 40218-1527

Call (502) 479-8930 Map

Mailing address

2600 El Patio Pl Apt 214
Louisville, KY 40220-6005

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	AG02250080 (KY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1699571083

Raul P. Ibanez Hernandez Sr., APRN's National Provider Identifier is 1699571083, issued on Feb 25, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Louisville, KY. The record was last updated on Feb 25, 2025.