Woodard, M. Patricia
Woodard, M. Patricia is an sole proprietor health care provider with primary practice located at 5197 Main St , South Fallsburg NY 12779-1010. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Woodard, M. Patricia can be contacted via phone (845) 436-8707.Contact Information
Primary practice address
5197 Main St
South Fallsburg NY 12779-1010
Phone: (845) 436-8707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 462272-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F301027-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F301027-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F301027-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F301027-1 | New York |
Profile Details
| NPI number | 1487799052 |
|---|---|
| LBN Legal business name | Woodard, M. Patricia |
| Credentials | M.S., C.N.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487799052 | NPPES |
| New York | MEDICAID | 01790349 |
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