Healthcare Provider Details

I. General information

NPI: 1922934215
Provider Name (Legal Business Name): ADRIENNE CATHLEEN NOLAN-SMITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 FARRELL DR
COVINGTON KY
41011-3717
US

IV. Provider business mailing address

1567 MEADOW HILL CT
FLORENCE KY
41042-9781
US

V. Phone/Fax

Practice location:
  • Phone: 859-578-3200
  • Fax:
Mailing address:
  • Phone: 859-444-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4022887
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: