Alyssa Derrick
Community Health Worker in Lexington, KY. Individual provider (NPI-1).
NPI number1669904504
StatusActive
Last updated in NPPESMar 30, 2017
Details
- NPI
- 1669904504
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Derrick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2017
- Last updated
- Mar 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 376K00000X | Nurse's Aide | 50178469 | KY |
Practice location
1351 Newtown PikeLexington, KY 40511-1275
Phone 859-253-1686
Mailing address
1351 Newton PikeLexington, KY 40511
Phone 859-253-1686
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 224 Community Health Worker providers in Lexington · All 17,069 providers in Lexington
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