Individual
LISA AREHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
405 VIOLET RD, CRITTENDEN, KY 41030-8956
(859) 428-1610
(859) 428-3923
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 428-1610
(859) 428-3923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323896
ANTHEM
—
05
—
201127120
—
IN
05
—
2466362
—
OH
01
—
500025962
RAILROAD MEDICARE
—
05
—
78003381
—
KY
01
—
P00922877
RAIL ROAD MEDICARE
KY
Enumeration date
06/26/2006
Last updated
09/13/2024
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