Provider Demographics
NPI:1124250089
Name:FLORENCE, SARAH LINDSEY (APRN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LINDSEY
Last Name:FLORENCE
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:1210 KY HIGHWAY 36 E
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7490
Mailing Address - Country:US
Mailing Address - Phone:859-234-9611
Mailing Address - Fax:859-234-0530
Practice Address - Street 1:1210 KY HIGHWAY 36 E
Practice Address - Street 2:SUITE 2A
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7490
Practice Address - Country:US
Practice Address - Phone:859-234-9611
Practice Address - Fax:859-234-0530
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2015-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3006124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100096220Medicaid