| Doctor Name: | SHANEE NICOLE WOODARD |
| NPI Number: | 1023365491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N |
| License Number: | |
| Business Practice Address: | 1957 Williamstown Dr Saint Peters, MO - 633768106 |
| Business Phone Number: | 3145833066 |
| Business Fax Number: | 6362810992 |
| Mailing Address: | 12685 Dorsett Rd # 332, MARYLAND HEIGHTS |
| State: | MO |
| Postal Code: | 630432100 |
| Phone Number: | 3145833066 |
| Fax Number: | 6362810992 |
| NPI Enumeration Date: | 08/05/2012 |
| NPI Last Update Date: | 08/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |