Provider Demographics
NPI:1871561514
Name:URQUHART, GRACE ELLEN (ARNP)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ELLEN
Last Name:URQUHART
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:P O BOX 23823
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40523-2678
Mailing Address - Country:US
Mailing Address - Phone:859-278-8772
Mailing Address - Fax:859-422-4361
Practice Address - Street 1:125 E MAXWELL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2678
Practice Address - Country:US
Practice Address - Phone:859-278-8772
Practice Address - Fax:859-422-4361
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4473P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000385627OtherBCBS BPC
KY78014636Medicaid
7229645OtherAETNA
000000363981OtherBCBS HHC
1221653OtherCHA HHC
KY0912224Medicare ID - Type UnspecifiedHHC
000000363981OtherBCBS HHC
7229645OtherAETNA