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Individual
REBECCA WOOLDRIDGE
Active
Individual
REBECCA WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
0001226811
VA
363LF0000X
Family Nurse Practitioner
Primary
0024177533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001226811
—
VA
Enumeration date
04/12/2019
Last updated
08/08/2022
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