Provider Demographics
NPI:1083389167
Name:LARRETT, INGRID (APRN)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:LARRETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 PROSPEROUS PL STE 100
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1898
Mailing Address - Country:US
Mailing Address - Phone:859-368-0609
Mailing Address - Fax:859-368-9767
Practice Address - Street 1:830 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1898
Practice Address - Country:US
Practice Address - Phone:859-323-2778
Practice Address - Fax:859-257-8708
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3016408363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health