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NPI Code Detail

MEDICARE: NANCY MARCUM APRN

MEDICARE:   NANCY  MARCUM  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4028831KY

General Provider Information

NPI Number : 1255151940
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY MARCUM APRN
Provider Business Mailing Address
First Line : 2700 OLD ROSEBUD RD STE 330
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-8630
Country : US
Telephone Number : 859-523-1776
Fax Number : 859-788-7150
Provider Business Practice Location Address
First Line : 828 LANE ALLEN RD STE 219
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3659
Country : US
Telephone Number : 443-383-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2024
Last Update Date : 04/15/2026

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