MS. APRN Lori A Wagner, NPI 1710972260
Adult Health Nurse Practitioner in Lexington, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710972260
NPI Entity Type Individual
Provider Name MS. APRN Lori A Wagner
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2387 Professional Heights Dr Ste 180, Lexington, KY, US
Provider Mailing Address 757 Caden Ln, Lexington, KY, US, 405094316
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LA2200X

Taxonomy Name Adult Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 3002772
License State KY
Description Definition to come...

Other Name

APRN Lori A Wagner Holter Bromagen
Former Name

Business Address

MS. APRN Lori A Wagner
2387 Professional Heights Dr Ste 180

Lexington, KY, US

Phone: 859-967-9486
Fax: 859-368-7780

Mailing Address

MS. APRN Lori A Wagner
757 Caden Ln
Lexington, KY, US
ZIP 405094316
Phone: 859-797-5558
Fax: 859-368-7780

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3002772 KY ADVANCED PRACTICE REGISTERED NURSE 01
11221661 CAQH 01
78000007 KY MEDICAID 05
1078503 KY REGISTERED NURSE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT ecw ecw medical records DIRECT OTHER No 2387 Professional Heights Dr Ste 180, Lexington, KY, US

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Organization

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Organization

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Organization

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DO John M Fleming

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911 Bypass Rd Bldg A

Pikeville, KY

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