Wanda Raye Stidham
Wanda Raye Stidham is a Nurse Practitioner in Hazard, Kentucky. Qualified in 2024, 2 years ago. Practices with Appalachian Regional Healthcare Inc, a 293-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 2
- Licensed in
- KY
- In the registry since
- 2025
Practice location Address checks out
181 Roy Campbell DrHazard, KY 41701-9407
Phone: (606) 439-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 4042301 (KY) |
|---|
Record details
| NPI number | 1821982489 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 6, 2025 |
| Last updated in NPPES | May 8, 2026 |
| Certification date | May 8, 2026 |
| Mailing address | 453 Old Ky 11, Booneville, KY 41314-9171 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Appalachian Regional Healthcare Inc — 293 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |