Healthcare Provider Details

I. General information

NPI: 1790188142
Provider Name (Legal Business Name): AMANDA SOHNLEIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 MAPLE RIDGE LN # C335
LEXINGTON KY
40509-1942
US

IV. Provider business mailing address

1401 HARRODSBURG RD STE C335
LEXINGTON KY
40504-1791
US

V. Phone/Fax

Practice location:
  • Phone: 859-948-5031
  • Fax: 859-276-5372
Mailing address:
  • Phone: 859-278-2575
  • Fax: 859-276-5372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008975
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: