Doctor Name: | TERESA K. WOODFILL |
NPI Number: | 1235246877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R17241 |
Business Practice Address: | 6349 St Hwy 550 Cuba, NM - 87013 |
Business Phone Number: | 5052893291 |
Business Fax Number: | 5052893648 |
Mailing Address: | 19 Woodfill Road, P.o. Box 113 LINDRITH |
State: | NM |
Postal Code: | 87029 |
Phone Number: | 5057746672 |
Fax Number: | 5057746664 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | R17241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |