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Contact Information

STEPHANIE A WOLFORD, RN, MSN, CNNP
571 S FLOYD ST
STE 342
LOUISVILLE, KY40202-3818
 Phone: 502-852-8470
 Fax: 502-852-8473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STEPHANIE A WOLFORD · (Female)

NPI # 1588733919
Status Active
Credentials RN, MSN, CNNP
Entity Individual
Enumeration date 11/07/2006
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 3005653
  • NC License # 201090
  • IN Medicaid 200933630
  • KY Medicaid 7100073750
  • KY Other 50035389 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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