Individual
DR. AMELIA ROSE NORDMANN WANTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1603 STEVENS AVE, LOUISVILLE, KY 40205-1087
(502) 451-5955
(502) 451-5925
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(866) 273-5392
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49821
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100361700
—
KY
Enumeration date
04/06/2014
Last updated
07/21/2022
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