Doctor Name: | HOLLIS WOODWARD |
NPI Number: | 1528271681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | 000083 |
Business Practice Address: | 67d Main St Minute Clinic Diagnostics Of Ma Llc Medway, MA - 020531831 |
Business Phone Number: | 2037781962 |
Business Fax Number: | |
Mailing Address: | 82 West Redding Rd, DANBURY |
State: | CT |
Postal Code: | 06810 |
Phone Number: | 2037781962 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 06/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 000083 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |