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NPI Code Detail

MEDICARE: DR. ALISHA NICOLE ROETHEMEYER APRN

MEDICARE: DR. ALISHA NICOLE ROETHEMEYER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner4009904KY
2363L00000XNurse Practitioner4009904KY
3363LA2200XAdult Health Nurse Practitioner4009904KY

General Provider Information

NPI Number : 1841062544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISHA NICOLE ROETHEMEYER APRN
Provider Business Mailing Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3617
Country : US
Telephone Number : 502-533-1411
Fax Number :
Provider Business Practice Location Address
First Line : 1733 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3617
Country : US
Telephone Number : 855-492-0812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2023
Last Update Date : 12/03/2025

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