Provider Demographics
NPI:1215821798
Name:NEIHEISEL, ANNE MARIE (PA-S)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:NEIHEISEL
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:MARIE
Other - Last Name:NEIHEISEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-S
Mailing Address - Street 1:205 CHARLES T WETHINGTON BUILDING
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0200
Mailing Address - Country:US
Mailing Address - Phone:859-218-0567
Mailing Address - Fax:
Practice Address - Street 1:205 CHARLES T WETHINGTON BUILDING
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0200
Practice Address - Country:US
Practice Address - Phone:859-218-0567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program