Provider Demographics
NPI:1417429606
Name:SAWYERS, CARRIE NICOLE (NP)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:NICOLE
Last Name:SAWYERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 OLD ROSEBUD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8624
Mailing Address - Country:US
Mailing Address - Phone:859-264-1141
Mailing Address - Fax:859-264-1963
Practice Address - Street 1:2700 OLD ROSEBUD RD STE 110
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8624
Practice Address - Country:US
Practice Address - Phone:859-264-1141
Practice Address - Fax:859-264-1963
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010560363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily