Healthcare Provider Details

I. General information

NPI: 1376968453
Provider Name (Legal Business Name): LUDIVINA TORRION WARREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VETERANS DR
LEXINGTON KY
40502-2235
US

IV. Provider business mailing address

2429 SEINE RD
LEXINGTON KY
40504-1624
US

V. Phone/Fax

Practice location:
  • Phone: 859-281-4942
  • Fax:
Mailing address:
  • Phone: 740-357-1558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number3018737
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3018737
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: