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Organization
INFINITI HEALTHCARE LLC
Active
Organization
INFINITI HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA ALLYCE HAGAN APRN (OWNER)
(859) 397-8199
Entity
Organization
Contact information
Practice address
1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
(859) 303-5918
Mailing address
1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
(859) 303-5918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
11/08/2024
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