Individual
NANCY R. SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
3213 SUMMIT SQUARE PL, SUITE 200, LEXINGTON, KY 40509-2636
(859) 381-1066
(859) 263-0650
Mailing address
3213 SUMMIT SQUARE PL, SUITE 200, LEXINGTON, KY 40509-2636
(859) 381-1066
(859) 263-0650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3003740
KY
367A00000X
Advanced Practice Midwife
Primary
3003740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000310590
ANTHEM
KY
01
—
7100053490
MEDICAID NP GROUP
KY
05
—
78008372
—
KY
Enumeration date
05/28/2006
Last updated
09/10/2014
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