Individual
WHITLEY ASHTON MAZE
Active
Sole proprietor
No
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
354 RIDGEWAY DR, OWINGSVILLE, KY 40360-8800
(859) 982-8316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4015551
KY
390200000X
Student in an Organized Health Care Education/Training Program
494146
OH
Other
Enumeration date
07/11/2021
Last updated
01/29/2024
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