Wooldridge, Shelley R
Wooldridge, Shelley R is an individual health care provider with primary practice located at 3999 Dutchmans Ln 7B, Louisville KY 40207-4729. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wooldridge, Shelley R can be contacted via phone (502) 896-4711.Contact Information
Primary practice address
3999 Dutchmans Ln 7B
Louisville KY 40207-4729
Phone: (502) 896-4711
Fax: (502) 896-4791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4714P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3004714 | Kentucky |
Profile Details
| NPI number | 1659314243 |
|---|---|
| LBN Legal business name | Wooldridge, Shelley R |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 6th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659314243 | NPPES |
| Kentucky | Other | 000000735021 | ANTHEM- NSS |
| Kentucky | MEDICAID | 78015500 | ANTHEM- NSS |
| Kentucky | MEDICAID | 201083440 | ANTHEM- NSS |
| Kentucky | Other | 50034547 | ANTHEM- NSS |
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