Most Relevant Information
Provider Data
| NPI Number: | 1003301698 |
| Provider Name: | MALISSA CLAUDETTE CONTRERAS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3012299 |
Most Important Dates
| Enumeration Date: | 06/26/2018 |
| Last Updated: | 06/26/2018 |
Provider Practice Location
3301 LEESTOWN RD
LEXINGTON
KY
405118702
Practice Location Phone/Fax
| Phone: | 8592556812 |
| Fax: |
Provider Mailing Location
3301 LEESTOWN RD
LEXINGTON
KY
405118799
Provider Mailing Phone/Fax
| Phone: | 8592556812 |
| Fax: |