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Individual
MS. MARIANNE O WOODY
Active
Individual
MS. MARIANNE O WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F335201-01
NY
363L00000X
Nurse Practitioner
Primary
R266323
MD
363L00000X
Nurse Practitioner
TP005136B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11391728
CAQH
PA
05
—
PENDING
—
PA
Enumeration date
06/06/2006
Last updated
10/28/2024
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