| Doctor Name: | VICTORIA THURSTON WOODBURY |
| NPI Number: | 1417925579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | T04220 |
| Business Practice Address: | 5409 Avenue O Suite 103 Fort Madison, IA - 52627 |
| Business Phone Number: | 3193729370 |
| Business Fax Number: | 3193728119 |
| Mailing Address: | 5409 Avenue O, Suite 103 FORT MADISON |
| State: | IA |
| Postal Code: | 52627 |
| Phone Number: | 3193729370 |
| Fax Number: | 3193728119 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | T04220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |