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Individual

AMBER D EASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
101 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-1836
(859) 275-5229
(859) 977-2683
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011109
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001275274
ANTHEM PROVIDER ID NUMBER
01
1644897
WELLCARE OF KY PROVIDER ID NUMBER
KY
05
300016685
IN
01
5176891
AETNA PROVIDER PIN
01
6347033
UNITED HEALTHCARE PROVIDER ID NUMBER
05
7100460270
KY
01
CS1919200189
CARESOURCE PROVIDER ID
01
QZZ000000204238
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
02/24/2017
Last updated
06/09/2022
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