| Doctor Name: | MARGERY L WOUDEN |
| NPI Number: | 1285719617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FPNP-C |
| License Number: | SD-CNP CP000252 |
| Business Practice Address: | 113 Comanche Rd Fort Meade, SD - 577411002 |
| Business Phone Number: | 6053472511 |
| Business Fax Number: | 6057207286 |
| Mailing Address: | 2591 Mount Carmel St, RAPID CITY |
| State: | SD |
| Postal Code: | 577010305 |
| Phone Number: | 6053472511 |
| Fax Number: | 6057207286 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SD-CNP CP000252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |