Healthcare Provider Details

I. General information

NPI: 1427381078
Provider Name (Legal Business Name): HEATHER D. COLEMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N EAGLE CREEK DR
LEXINGTON KY
40509-1805
US

IV. Provider business mailing address

800 ROSE STREET
LEXINGTON KY
40503
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5772
  • Fax: 859-313-3178
Mailing address:
  • Phone: 859-323-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number3006054
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number3006054
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: