Provider Demographics
NPI:1023115458
Name:TUDOR, GEORGANA CEE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:GEORGANA
Middle Name:CEE
Last Name:TUDOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 TATES CREEK RD
Mailing Address - Street 2:APT 5604
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3073
Mailing Address - Country:US
Mailing Address - Phone:859-200-9865
Mailing Address - Fax:
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:SAINT LUKE'S FAMILY CLINIC
Practice Address - City:CAMPTON
Practice Address - State:KY
Practice Address - Zip Code:41301-0000
Practice Address - Country:US
Practice Address - Phone:606-668-9076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5010P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily