Judith A Waddell in Bowling Green - Nurse Practitioner
Judith A Waddell - NPI 1164420170
Judith A Waddell is a Nurse Practitioner in Bowling Green, Kentucky. Judith A Waddell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Judith A Waddell is 1164420170. The last update date is 2010-01-22.
Judith A Waddell's current location address is 990 Wilkinson Trce, Bowling Green, Kentucky. You can contact this provider via phone number 2707814043 and fax number 2707814196. The mailing address for Judith A Waddell is 990 Wilkinson Trce, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Waddell |
|---|---|
| Address | 990 Wilkinson Trce, Bowling Green, Kentucky |
| Phone Number | 2707814043 |
| Fax Number | 2707814196 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1164420170 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2010-01-22 |
Provider Mailing Address Detail
| Address | 990 Wilkinson Trce |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421033404 |
| Phone Number | 2707814043 |
| Fax Number | 2707814196 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2742 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78008794 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Judith A Waddell by the Centers for Medicare & Medicaid Services (CMS)?
The Judith A Waddell has been assigned the NPI (National Provider Identifier) 1164420170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Judith A Waddell's physical address?
The Judith A Waddell is physically located at 990 Wilkinson Trce, in the city of Bowling Green, KY, with the postal code 421033404.
What is the Judith A Waddell's specialty and taxonomy code?
The Judith A Waddell's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Judith A Waddell's 1164420170 issued?
The Judith A Waddell's 1164420170 was issued on 2005-07-13.
As of what date were the Judith A Waddell's details last updated?
The information pertaining to the Judith A Waddell, including its address, specialty, and other details, was most recently updated on 2010-01-22.