Individual provider · Type 1 NPI
Wanda Raye Stidham
Primary Care Nurse Practitioner · Hazard, KY
NPI number
1821982489
Active
Practice location
181 Roy Campbell Dr
Hazard, KY 41701-9407
Mailing address
453 Old Ky 11
Booneville, KY 41314-9171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4042301 (KY) |
Primary Care Nurse Practitioner: Definition to come...
16 other providers at this address
- Ace Clinique of MedicinePain Medicine Physician Hazard, KY NPI 1306862057
- Ace Clinique of MedicineRadiologic Technologist Hazard, KY NPI 1770502791
- Advanced Care CliniqueInternal Medicine Physician Hazard, KY NPI 1104221233
- Appalachian Regional Healthcare, IncCommunity/Retail Pharmacy Hazard, KY NPI 1942792536
- Alyssa Hounshell, MDPediatrics Physician Hazard, KY NPI 1962084624
- Christopher Michael Yost, MDInternal Medicine Physician Hazard, KY NPI 1467744086
- George R. Chaney, MDFamily Medicine Physician Hazard, KY NPI 1669575981
- Gregory Hoskins, PAMedical Physician Assistant Hazard, KY NPI 1790925857
- Jacqueline MesserFamily Nurse Practitioner Hazard, KY NPI 1295267102
- James J. Hammock, MDPhysical Medicine & Rehabilitation Physician Hazard, KY NPI 1245470426
- Jennifer Crystal Chaney, MDFamily Medicine Physician Hazard, KY NPI 1528328960
- Jonathan Bach, MDInternal Medicine Physician Hazard, KY NPI 1306425814
About NPI 1821982489
Wanda Raye Stidham's National Provider Identifier is 1821982489, issued on Jun 6, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hazard, KY. The record was last updated on May 8, 2026.