ANDREA BEAVEN

LOUISVILLE, KY
NPI1770714297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KY  20091515)
Enumeration Date2009-07-31
Last Update Date2009-07-31
Business Address
-- ANDREA BEAVEN
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
Mailing Address
-- ANDREA BEAVEN
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: