Provider Demographics
NPI:1548695851
Name:CZARAPATA, MARY MELISSA (APRN)
Entity type:Individual
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First Name:MARY
Middle Name:MELISSA
Last Name:CZARAPATA
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:GILL HEART INSTITUTE 900 SOUTH LIMESTONE
Mailing Address - Street 2:CTWB 320
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0200
Mailing Address - Country:US
Mailing Address - Phone:859-323-3976
Mailing Address - Fax:859-257-6060
Practice Address - Street 1:GILL HEART INSTITUTE 800 ROSE ST
Practice Address - Street 2:G100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0093
Practice Address - Country:US
Practice Address - Phone:859-323-0295
Practice Address - Fax:859-257-8699
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2015-12-07
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Provider Licenses
StateLicense IDTaxonomies
KY3008126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100273230Medicaid