# MS. STEPHANIE A WOLFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588733919
- **Gender:** F
- **Credential:** RN, MSN, CNNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | 3005653 | KY | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 201090 | NC | — |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 3005653 | KY | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 10/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200933630 | — | IN |
| 01 | — | 50035389 | PASSPORT | KY |
| 05 | — | 7100073750 | — | KY |