Healthcare Provider Details

I. General information

NPI: 1073003620
Provider Name (Legal Business Name): SYDNEY RIEMAN NANCE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 NICHOLASVILLE RD STE 500
LEXINGTON KY
40503
US

IV. Provider business mailing address

1720 NICHOLASVILLE RD STE 500
LEXINGTON KY
40503-1487
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-1114
  • Fax: 859-277-0541
Mailing address:
  • Phone: 859-278-1114
  • Fax: 859-277-0541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number242038
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: