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NPI Code Detail

MEDICARE: MRS. MARIAH BROOKE LANG APRN, FNP-C

MEDICARE: MRS. MARIAH BROOKE LANG APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner3018575KY

General Provider Information

NPI Number : 1811614837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIAH BROOKE LANG APRN, FNP-C
Provider Business Mailing Address
First Line : 2195 HARRODSBURG RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-2232
Fax Number :
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 01/29/2026

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Directions to “ MRS. MARIAH BROOKE LANG APRN, FNP-C” Practice Location

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