SHASTA CECIL
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1104334184- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1720 NICHOLASVILLE RD, LEXINGTON, KY, 405031404
- Phone
- (859) 277-5887
- Fax
- (859) 276-7659
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: KY #3011954