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Individual
SHELLEY R WOOLDRIDGE
Active
Individual
SHELLEY R WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004714
KY
363LP2300X
Primary Care Nurse Practitioner
4714P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000735021
ANTHEM- NSS
KY
05
—
201083440
—
IN
01
—
50034547
PASSPORT- NORTON SURGICAL SPECIALISTS
KY
05
—
78015500
—
KY
Enumeration date
06/13/2006
Last updated
12/06/2018
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