MS. STEPHANIE A WOLFORD RN MSN CNNP NPI 1588733919

NPI Information

NPI: 1588733919
Provider Name: MS. STEPHANIE A WOLFORD, RN, MSN, CNNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
571 S FLOYD ST
STE 342
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-8470
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MS. Stephanie A Wolford, RN, MSN, CNNP is a neonatal nurse practitioner in Louisville, KY. MS. Stephanie A Wolford, RN, MSN, CNNP NPI is 1588733919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

571 S FLOYD ST
STE 342
LOUISVILLE, KY
ZIP 40202-818
Phone: (502) 852-8470
Fax: (502) 852-8473

The NPI 1588733919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0000X	Nurse Practitioner	Neonatal	3005653	KENTUCKY	Yes
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	3005653	KENTUCKY	No
3	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	201090	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100073750	MEDICAID	KENTUCKY
2	200933630	MEDICAID	INDIANA
3	50035389	OTHER	KENTUCKY	PASSPORT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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