Provider Demographics
NPI:1750512075
Name:SEWELL, ALAINA C (APRN)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:C
Last Name:SEWELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:C
Other - Last Name:BROHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 60677
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:3598 SPRINGHURST BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-4141
Practice Address - Country:US
Practice Address - Phone:502-456-3030
Practice Address - Fax:502-456-3032
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1106060363LF0000X
KY3006120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100092750Medicaid
KY01021016Medicare PIN
KY00533192Medicare PIN
KY7100092750Medicaid
KY0637779Medicare PIN
KY0795671Medicare PIN
KY00714070Medicare PIN
KY01065011Medicare PIN
KY01022013Medicare PIN
KYK129160Medicare PIN
KY00640029Medicare PIN
KY0795671Medicare PIN