IndividualActive
Alice Park, CRNA
NPI 1902913361 · Certified Registered Nurse Anesthetist · Lexington, KY
Provider details
- NPI number
- 1902913361
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 3004892 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone: (859) 967-5000
Approximate (ZIP-level) locationGet directions
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2013-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.