Provider Demographics
NPI:1477267706
Name:WOUNDRX 2U LLC
Entity Type:Organization
Organization Name:WOUNDRX 2U LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:SPALDING
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:812-616-4062
Mailing Address - Street 1:1085 STEWARTS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9353
Mailing Address - Country:US
Mailing Address - Phone:812-616-4062
Mailing Address - Fax:866-902-0669
Practice Address - Street 1:1085 STEWARTS CREEK RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-9353
Practice Address - Country:US
Practice Address - Phone:812-616-4062
Practice Address - Fax:866-902-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty