Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 3011889 | KY |
NPI | 1043710783 |
---|---|
Provider Name | Miss Hayden Murrell Meza |
First Address | Lexington, KY 40509-2538 |
Second Address | Lexington, KY 40509-2538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2018 |
Last Update Date | 17/03/2020 |