Individual
PAULINE RUTH SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 229-0085
(859) 273-6778
Mailing address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 327-1924
(859) 273-6778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3002633
KY
Other
Enumeration date
11/06/2009
Last updated
04/03/2022
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