Individual
MICHELLE WADDLES CRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3039 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
(502) 452-6445
Mailing address
757 W MAIN ST, LEBANON, KY 40033-1838
(270) 972-4186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1089526
KY
363LF0000X
Family Nurse Practitioner
Primary
4012861
KY
Other
Enumeration date
03/19/2020
Last updated
04/28/2026
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