# VW HEALTH CARE

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

## Provider details

- **NPI number:** 1588054282
- **Authorized official:** MS. ALEXIS HOPE VON WIEGEN APRN (OWNER)
- **Authorized official phone:** (859) 492-2601

## Contact information

- **Practice address:** 3053 STANFORD DR, LEXINGTON, KY 40517-1518
- **Practice address phone:** (859) 492-2601
- **Mailing address:** 3053 STANFORD DR, LEXINGTON, KY 40517-1518
- **Mailing address phone:** (859) 492-2601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3003823 | KY | Yes |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 02/02/2015

## 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 |