Individual
RITA MARIE PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3101 RICHMOND RD, LEXINGTON, KY 40509-1599
(859) 268-9866
(859) 268-0458
Mailing address
166 PASADENA DR, LEXINGTON, KY 40503-2973
(859) 278-0319
(859) 277-9699
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
1036392
KY
363LF0000X
Family Nurse Practitioner
Primary
3004097
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000309461
ANTHEM
KY
05
—
78010592
—
KY
Enumeration date
08/01/2006
Last updated
10/30/2014
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