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MAKENSEE CORRIVEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
68 E ELKINS ST, STANTON, KY 40380-2311
(606) 663-2511
(859) 274-4378
Mailing address
3453 ALDERSHOT DR, LEXINGTON, KY 40503-4201
(859) 333-3925

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4041607
KY

Other

Enumeration date
06/09/2025
Last updated
02/25/2026
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