Madeleine Sofo Wardell, APRN | |
6411 Veterans Memorial Pkwy Ste 200, Crestwood, KY 40014-8698 | |
(502) 394-6555 | |
(502) 394-3657 |
Full Name | Madeleine Sofo Wardell |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6411 Veterans Memorial Pkwy Ste 200, Crestwood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215367669 | NPI | - | NPPES |
3009056 | Other | KY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3009056 (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Norton Childrens Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
Mailing Address | Practice Location Address |
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Madeleine Sofo Wardell, APRN Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490 | Madeleine Sofo Wardell, APRN 6411 Veterans Memorial Pkwy Ste 200, Crestwood, KY 40014-8698 Ph: (502) 394-6555 |
Michelle Baxter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3811 Barbara Ann Blvd, Crestwood, KY 40014 Phone: 502-599-4158 | |
Julia Elizabeth Pennington, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6813 W Highway 22, Crestwood, KY 40014 Phone: 502-243-2622 Fax: 502-243-2692 | |
Julie A Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Jamie Ct, Crestwood, KY 40014 Phone: 502-550-4235 | |
Denise Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4102 Deer Run Rd, Crestwood, KY 40014 Phone: 502-758-0795 | |
Amy Nicole Head, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossing Rd, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 | |
Carrie Lynn Burchel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7101 W Highway 22, Crestwood, KY 40014 Phone: 502-241-6467 |