Healthcare Provider Details

I. General information

NPI: 1568307437
Provider Name (Legal Business Name): ANITA DURBIN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E MAXWELL ST STE 200
LEXINGTON KY
40508-2678
US

IV. Provider business mailing address

125 E MAXWELL ST STE 200
LEXINGTON KY
40508-2678
US

V. Phone/Fax

Practice location:
  • Phone: 859-562-2911
  • Fax: 859-218-8917
Mailing address:
  • Phone: 859-562-2911
  • Fax: 859-218-8917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1057033
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: