Individual
ALEXIS VONWIEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
125 E MAXWELL ST, SUITE 300, LEXINGTON, KY 40508-2678
(859) 278-8772
(859) 422-4361
Mailing address
P O BOX 23823, LEXINGTON, KY 40523-2678
(859) 278-8772
(859) 422-4361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3823P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321163
BCBS HHC
—
01
—
000000490013
BCBS LPC
—
01
—
7023444
AETNA
—
05
—
78009024
—
KY
01
—
P00115687
RAILROAD MED. HHC
—
Enumeration date
03/09/2006
Last updated
07/08/2007
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