Individual
NICHOLAS PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLIAGE DR., EDGEWOOD, KY 41017
(859) 341-2666
Mailing address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 341-2666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1104308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000596703
ANTHEM
—
05
—
200929450
—
IN
05
—
2939922
—
OH
05
—
7100070590
—
KY
Enumeration date
11/24/2008
Last updated
08/18/2009
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