Individual
JUDITH A WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Mailing address
990 WILKINSON TRCE, BOWLING GREEN, KY 42103-3404
(270) 781-4043
(270) 781-4196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78008794
—
KY
Enumeration date
07/13/2005
Last updated
01/22/2010
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