Wanda Raye Stidham is a Booneville, Kentucky based nurse practitioner who is specialized as Primary Care nurse. Active license number of Wanda Raye Stidham is 4042301 for Primary Care in Kentucky. Her current practice location is 453 Old Ky 11, Booneville. Patients can reach her at 606-593-6400 with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1821982489. Wanda Raye Stidham is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Wanda Raye Stidham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821982489
NPI Enumeration Date:
06 Jun, 2025
NPI Last Update On:
09 Jun, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanda Raye Stidham are as mentioned below.
License Number
Specialization
State
Status
4042301
Primary Care
Kentucky
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Wanda Raye Stidham 453 Old Ky 11, Booneville, Kentucky
Zip:
41314-9171
Phone Number:
606-593-6400
Patients can reach Wanda Raye Stidham at 453 Old Ky 11, Booneville, Kentucky or can call to book an appointment on 606-593-6400.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.