Judith E Sepulveda
Nurse Practitioner Nurse Practitioner - Critical Care Medicine and 2 more
2355 Poplar Level Road Suite G1-11
Louisville
, Kentucky 40217-1367
Judith E Sepulveda
Nurse Practitioner Nurse Practitioner - Critical Care Medicine and 2 more
2355 Poplar Level Road Suite G1-11
Louisville
, Kentucky 40217-1367
(502) 272-5116
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Judith E Sepulveda
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Judith E Sepulveda
- 2355 Poplar Level Road Suite G1-11
- Louisville, KY
- Zip : 40217-1367
- Fax : (502) 636-8128
- Phone : (502) 636-8121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 28161288A | IN |
| Y | 363L00000X | Nurse Practitioner | 3003029 | KY |
| N | 363L00000X | Nurse Practitioner | 3029P | KY |
| N | 363L00000X | Nurse Practitioner | 71001781A | IN |
| N | 363L00000X | Nurse Practitioner | 71001781B | IN |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1071867 | KY |
National Provider Identifier
| NPI | 1386746360 |
|---|---|
| Provider Name | Judith E Sepulveda |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40217-1367 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 17/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20057650 | (05) | IN |
| P62025 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.