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Shelly Popham Stiles, APRN
Family Nurse Practitioner in Louisville, Kentucky
NPI 1922318484

Shelly Popham Stiles is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Shelly Popham Stiles practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Shelly Popham Stiles is 1922318484 and holds a License No. 71003523A (Kentucky).

The current practice location address for Shelly Popham Stiles is 120 Executive Park, Louisville, KY and can be reached out via phone at 502-855-7200 and via fax at 502-855-7201.

Location: 120 Executive Park, Louisville, KY, 40207-4202
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Provider Profile Details
NPI Number
1922318484
Provider Name
Shelly Popham Stiles
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
120 Executive Park, Louisville, KY, 40207-4202
Phone Number
502-855-7200
Fax Number
502-855-7201
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121043 01 SIHO PROVIDER ID NUMBER
1890913 01 HUMANA PROVIDER ID NUMBER
CS2026700142 01 CARESOURCE PROVIDER ID NUMBER
000001401850 01 ANTHEM PROVIDER ID NUMBER
4315911 01 CIGNA PROVIDER ID NUMBER
2254146 01 KY WELLCARE OF KENTUCKY PROVIDER ID NUMBER
7100145300 05 KY
93601KYIP 01 KY AETNA BETTER HEALTH OF KENTUCKY PROVIDER ID NUMBER
300027468 05 IN
institution
Provider Business Practice Location Address Details
Address
120 Executive Park
City
State
Zip
40207-4201
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider Business Mailing Address Details
Address
120 Executive Park
City
State
Zip
40207-4201
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003523A (Indiana)
Definition
Definition to come...
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