Individual
MADELEINE SOFO WARDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6411 VETERANS MEMORIAL PKWY STE 200, CRESTWOOD, KY 40014-8698
(502) 394-6555
(502) 394-3657
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009056
LICENSE
KY
Enumeration date
11/22/2013
Last updated
04/11/2024
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