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Ms. Lisa Rae Gergen, APRN
Nurse Practitioner in Edgewood, Kentucky
NPI 1497748263

Lisa Rae Gergen is a Nurse Practitioner based in Edgewood, KY. Lisa Rae Gergen practices in Edgewood, KY and has the professional credentials of APRN. The NPI Number for Lisa Rae Gergen is 1497748263 and holds a License No. RN-232372 (Kentucky).

The current practice location address for Lisa Rae Gergen is 560 S Loop Rd, Edgewood, KY and can be reached out via phone at 859-301-2663 and via fax at 859-301-0655.

Location: 560 S Loop Rd, Edgewood, KY, 41017-3405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497748263
Provider Name
Lisa Rae Gergen
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
560 S Loop Rd, Edgewood, KY, 41017-3405
Phone Number
859-301-2663
Fax Number
859-301-0655
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2442191 01 UHC
2535028 05 OH
78008083 05 KY
000000248062 01 ANTHEM
P65717 01 UPIN
500027765 01 MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
560 S Loop Rd
City
Edgewood
State
Kentucky
Zip
41017-3405
Phone Number
859-301-2663
Fax Number
859-301-0655
person
Provider Business Mailing Address Details
Address
560 S Loop Rd
City
Edgewood
State
Kentucky
Zip
41017-3405
Phone Number
859-301-2663
Fax Number
859-301-0655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1067394 (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN-232372 (Ohio)
Definition
Definition to come...
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