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Individual

MS. STEPHANIE A WOLFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, CNNP

Contact information

Practice address
571 S FLOYD ST, STE 342, LOUISVILLE, KY 40202-3818
(502) 852-8470
(502) 852-8473
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
3005653
KY
363LN0005X
Critical Care Neonatal Nurse Practitioner
201090
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
3005653
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200933630
IN
01
50035389
PASSPORT
KY
05
7100073750
KY
Enumeration date
11/07/2006
Last updated
10/29/2020
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