Optimal Health Primary Care Center PLLC
Organization Active NPI Nurse Practitioner · Alexandria, KY
NPI 1457797219 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1457797219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3006443 (KY)
- Legal business name
- OPTIMAL HEALTH PRIMARY CARE CENTER PLLC
- Practice address
- 8333 Alexandria Pike
Alexandria, KY 41001-1187 - Phone
- (859) 635-0867
- NPI assigned
- May 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Nancy Hudson, APRN
- Title
- President
- Phone
- (859) 635-0867
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | 3006443 | KY | Yes |
Addresses
Primary practice location
8333 Alexandria Pike
Alexandria, KY 41001-1187
Mailing address
8333 Alexandria Pike
Alexandria, KY 41001-1187
Phone (859) 635-0867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100243020 | Medicaid | KY |
Other providers in Alexandria, KY
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- Robert A Neltner
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- Pinnacle Mental Health, LLC
- Roger D Porter
- Amy Purvis
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All providers in Alexandria, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.