Provider Demographics
NPI:1467765719
Name:VAINISI DI MUZIO, ASHLEE (APRN)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:VAINISI DI MUZIO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:VAINISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:62 BURDSALL AVE
Mailing Address - Street 2:
Mailing Address - City:FT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2802
Mailing Address - Country:US
Mailing Address - Phone:513-263-0511
Mailing Address - Fax:
Practice Address - Street 1:600 GREENUP ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2524
Practice Address - Country:US
Practice Address - Phone:859-349-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008309363LF0000X
FL9262250363LF0000X
OH026691363LF0000X
OH14145363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100384490Medicaid
KY7100384490Medicaid