Whitney Stidham, APRN | |
617 23rd St Ste 19, Ashland, KY 41101-2845 | |
(063) 252-2216 | |
Not Available |
Full Name | Whitney Stidham |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 617 23rd St Ste 19, Ashland, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720616196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN11004302 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 3017487 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Hospice, Inc. | 0042242950 | 3 |
Community Hospice, Inc. | 0042242950 | 3 |
Entity Name | Community Hospice, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144375585 PECOS PAC ID: 0042242950 Enrollment ID: O20050831000335 |
Mailing Address | Practice Location Address |
---|---|
Whitney Stidham, APRN Po Box 2379, Ashland, KY 41105-2379 Ph: (606) 408-6200 | Whitney Stidham, APRN 617 23rd St Ste 19, Ashland, KY 41101-2845 Ph: (063) 252-2216 |
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