Healthcare Provider Details

I. General information

NPI: 1326597188
Provider Name (Legal Business Name): MARISA RIGSBY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SOWER BLVD FL 118
FRANKFORT KY
40601-1719
US

IV. Provider business mailing address

300 SOWER BLVD FL 118
FRANKFORT KY
40601-1719
US

V. Phone/Fax

Practice location:
  • Phone: 502-564-3333
  • Fax:
Mailing address:
  • Phone: 502-564-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3010718
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: