Individual
LAUREN NICOLE WIMSATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1808 FORT PICKENS RD, LA GRANGE, KY 40031-8707
(502) 222-0028
(502) 222-0029
Mailing address
1808 FORT PICKENS RD, LA GRANGE, KY 40031-8707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010686
KY
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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