Individual
MS. DENISE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
(859) 277-5414
Mailing address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
(859) 277-5414
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6441P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142080
—
KY
Enumeration date
08/30/2010
Last updated
12/08/2020
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