Individual
NANCY L WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2355 POPLAR LEVEL RD, LOUISVILLE, KY 40217-1395
(502) 891-8300
(502) 634-9236
Mailing address
PO BOX 776351 SUITE 130, CHICAGO, IL 60677-3913
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1089016
KY
163W00000X
Registered Nurse
RN9170715
FL
363L00000X
Nurse Practitioner
3006304
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3006304
KY
363LF0000X
Family Nurse Practitioner
6304P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201108120
—
IN
05
—
7100097780
—
KY
Enumeration date
12/09/2009
Last updated
12/18/2023
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