Provider Demographics
NPI:1467792853
Name:VAJDLE, OKSANA (CRNA)
Entity type:Individual
Prefix:
First Name:OKSANA
Middle Name:
Last Name:VAJDLE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:OKSANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:800 ROSE ST
Mailing Address - Street 2:UK HEALTHCARE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-6265
Mailing Address - Fax:859-257-5303
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-5956
Practice Address - Fax:859-323-1080
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007901367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered