Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA RAYE STIDHAM
ActiveWANDA RAYE STIDHAM is a Primary Care Nurse Practitioner healthcare provider located in BOONEVILLE, Kentucky. NPI 1821982489 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BOONEVILLE, KY
Registration Details
- NPI Number
- 1821982489
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2025 (1.1982140121971 yrs)
- Last Updated
- Jun 9, 2025
- License
-
4042301 (KY)
Practice Information
- Address
-
453 OLD KY 11BOONEVILLE, KY, 413149171Browse KY providers · Browse ZIP 41314
- Phone
- 6065936400
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.