Individual
MRS. ANGELA MICHELLE WOODFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1099305
KY
363L00000X
Nurse Practitioner
4016629
KY
363LF0000X
Family Nurse Practitioner
Primary
4016629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100973180
—
KY
Enumeration date
08/22/2023
Last updated
12/13/2024
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