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
Fax: (502) 896-4791
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
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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