Individual
MARILYN K WOLPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2360 STONY BROOK DR, LOUISVILLE, KY 40220-4018
(502) 446-5462
(502) 394-3670
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002139
KY
363LF0000X
Family Nurse Practitioner
71001137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200348470
—
IN
05
—
78005659
—
KY
Enumeration date
06/24/2006
Last updated
01/25/2019
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