Wanda Raye Stidham
Nurse Practitioner - Primary Care • Hazard, KY
Professional Overview & Biography Verified Profile Summary
Wanda Stidham is a certified Nurse Practitioner - Primary Care practicing in Hazard, KY. With approximately 2 years of clinical experience since completing medical education in 2024, Wanda Stidham delivers high-quality medical care to the local community at 181 ROY CAMPBELL DR.
Wanda Stidham does not directly accept Medicare assignment.
Practice Location & Contact Primary Location
181 Roy Campbell Dr
Hazard, KY 417019407
Medicare Profile & Education
Other
2024
Not Specified
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner - Primary Care in Hazard, KY
Practicing in Hazard, KY (117 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2026-05-08NUCC Taxonomy Code: 363LP2300X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Advanced Practice Registered Nurse
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Pediatrics
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 181 ROY CAMPBELL DR, HAZARD, KY 417019407 (Tel: 6064391316)
NPI status registered as active in NPPES database
Registered at 453 OLD KY 11, BOONEVILLE, KY 413149171 (Tel: 6065936400)
Registered at 453 OLD KY 11, BOONEVILLE, KY 413149171 (Tel: 6065936400)
Recorded as WANDA STIDHAM
Nurse Practitioner (License #4042301 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
453 Old Ky 11
Booneville, KY 413149171
Phone: 6065936400
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.