Healthcare Provider Details

I. General information

NPI: 1467765719
Provider Name (Legal Business Name): ASHLEE VAINISI DI MUZIO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEE VAINISI APRN

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GREENUP ST
COVINGTON KY
41011-2524
US

IV. Provider business mailing address

62 BURDSALL AVE
FT MITCHELL KY
41017-2802
US

V. Phone/Fax

Practice location:
  • Phone: 859-349-0700
  • Fax:
Mailing address:
  • Phone: 513-263-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008309
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9262250
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number026691
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: