Most Relevant Information
Provider Data
| NPI Number: | 1003486804 |
| Provider Name: | STEPHANIE LAUREN AVDAGIC DNP, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3016054 |
Most Important Dates
| Enumeration Date: | 06/25/2021 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
2333 ALEXANDRIA DR
LEXINGTON
KY
405043215
Practice Location Phone/Fax
| Phone: | 8333439329 |
| Fax: |
Provider Mailing Location
2333 ALEXANDRIA DR
LEXINGTON
KY
405043215
Provider Mailing Phone/Fax
| Phone: | 8333439329 |
| Fax: |