Woodruff, Melinda W.M.

Woodruff, Melinda W.M. is an individual health care provider with primary practice located at 6508 Smooth Thorn Ct , Jacksonville FL 32258-5498. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Woodruff, Melinda W.M. can be contacted via phone (904) 309-4458.

Contact Information

Primary practice address
6508 Smooth Thorn Ct Jacksonville FL 32258-5498
Phone: (904) 309-4458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3273322 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-007514 Illinois

Profile Details

NPI number 1679546238
LBN Legal business name Woodruff, Melinda W.M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 19th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679546238 NPPES
Florida MEDICAID 300308600

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