Healthcare Provider Details

I. General information

NPI: 1912386418
Provider Name (Legal Business Name): ASHLEIGH MICHELLE GASPARAC APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 09/29/2023
Certification Date: 09/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S LIMESTONE
LEXINGTON KY
40508-3008
US

IV. Provider business mailing address

4925 ROCKWELL RD
WINCHESTER KY
40391-8509
US

V. Phone/Fax

Practice location:
  • Phone: 859-226-7063
  • Fax: 859-226-7266
Mailing address:
  • Phone: 859-744-1061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number3008288
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3008288
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: