Individual
MRS. MICKI L GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2364
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016780
KY
367500000X
Certified Registered Nurse Anesthetist
COA 08742 NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200832390
—
IN
05
—
2636919
—
OH
05
—
7100011430
—
KY
Enumeration date
08/01/2006
Last updated
10/04/2021
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