HALLEY AZAD
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1912835752- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7607 DIXIE HWY, FLORENCE, KY, 410422644
- Phone
- (859) 655-6100
- Fax
- (859) 282-8611
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: KY #4057039