# SHELLEY R WOOLDRIDGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659314243
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3004714 | KY | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 4714P | KY | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 12/06/2018

## 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 |