Individual provider · Type 1 NPI

Phyllis M. Waldridge, RN

Psychiatric/Mental Health Registered Nurse · Lexington, KY

NPI number 1104966274 Active

Practice location

627 W 4th St
Lexington, KY 40508-1207

Fax (859) 254-2743

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1217

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X1082554 (KY)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1104966274

Phyllis M. Waldridge, RN's National Provider Identifier is 1104966274, issued on Feb 7, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lexington, KY. The record was last updated on Jul 9, 2007.