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Organization
VW HEALTH CARE
Active
Organization
VW HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS HOPE VON WIEGEN APRN (OWNER)
(859) 492-2601
Entity
Organization
Contact information
Practice address
3053 STANFORD DR, LEXINGTON, KY 40517-1518
(859) 492-2601
Mailing address
3053 STANFORD DR, LEXINGTON, KY 40517-1518
(859) 492-2601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003823
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321163
BCBS HHC
KY
01
—
000000490013
BCBS
KY
01
—
0912212
MEDICARE ID TYPE OTHER
KY
01
—
0914304
MEDICARE ID UNSPECIFIED
KY
01
—
702344
AETNA
KY
05
—
78009024
—
KY
01
—
P00115687
RAILROAD MED, HHC
KY
Enumeration date
02/02/2015
Last updated
02/02/2015
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