Individual
MR. NICHOLAS MARTIN MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1096442
KY
363L00000X
Nurse Practitioner
Primary
3005643
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100064180
—
KY
01
—
P00674129
RAILROAD MEDICARE
KY
Enumeration date
04/02/2008
Last updated
02/03/2016
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