Individual
JUDITH E SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
2355 POPLAR LEVEL ROAD, SUITE G1-11, LOUISVILLE, KY 40217-1367
(502) 636-8121
(502) 636-8128
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28161288A
IN
363L00000X
Nurse Practitioner
Primary
3003029
KY
363L00000X
Nurse Practitioner
3029P
KY
363L00000X
Nurse Practitioner
71001781A
IN
363L00000X
Nurse Practitioner
71001781B
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
1071867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20057650
—
IN
Enumeration date
09/01/2006
Last updated
04/17/2017
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