Marcum, Audra

Marcum, Audra is an individual health care provider with primary practice located at 166 Pasadena Dr Suite 100, Lexington KY 40503-2973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Marcum, Audra can be contacted via phone (859) 278-0319.

Contact Information

Primary practice address
166 Pasadena Dr Suite 100 Lexington KY 40503-2973
Fax: (859) 277-9699
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3004628 Kentucky

Profile Details

NPI number 1497703987
LBN Legal business name Marcum, Audra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497703987 NPPES
Kentucky MEDICAID 78016938

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