Woodward, Renada R.

Woodward, Renada R. is an individual health care provider with primary practice located at 508 High St , Mount Holly NJ 08060-1052. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodward, Renada R. can be contacted via phone (609) 261-8963.

Contact Information

Primary practice address
508 High St Mount Holly NJ 08060-1052
Phone: (609) 261-8963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00459600 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00459600 New Jersey

Profile Details

NPI number 1629488077
LBN Legal business name Woodward, Renada R.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2014
Last updated Dec 21st, 2020 - about 4 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 1629488077 NPPES
New Jersey Other 0455091 MEDICAID GROUP
New Jersey Other 381020 MEDICAID GROUP

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