# INFINITI HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184314254
- **Authorized official:** MIRANDA ALLYCE HAGAN APRN (OWNER)
- **Authorized official phone:** (859) 397-8199

## Contact information

- **Practice address:** 1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
- **Practice address phone:** (859) 303-5918
- **Mailing address:** 1018 E NEW CIRCLE RD STE 205, LEXINGTON, KY 40505-4138
- **Mailing address phone:** (859) 303-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2023
- **Last updated:** 11/08/2024