Healthcare Provider Details

I. General information

NPI: 1639003312
Provider Name (Legal Business Name): REGAN LINDSAY GUENTHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 N DIXIE AVE
ELIZABETHTOWN KY
42701-2503
US

IV. Provider business mailing address

PO BOX 910530
LEXINGTON KY
40591-0530
US

V. Phone/Fax

Practice location:
  • Phone: 877-783-6257
  • Fax:
Mailing address:
  • Phone: 877-783-6257
  • Fax: 859-514-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4057360
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: