Individual
AUDRA MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
166 PASADENA DR, SUITE 100, LEXINGTON, KY 40503-2973
(859) 278-0319
(859) 277-9699
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3004628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78016938
—
KY
Enumeration date
05/05/2006
Last updated
12/09/2020
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