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Individual

MICHAEL LEE WAINSCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
7607 DIXIE HWY, FLORENCE, KY 41042-2689
(859) 655-6100
Mailing address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
(859) 655-6148

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009891
KY
363LF0000X
Family Nurse Practitioner
3009891
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009891
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156369
OH
05
7100399070
KY
Enumeration date
11/27/2015
Last updated
02/23/2024
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