# MS. MARIANNE O WOODY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447299946
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | F335201-01 | NY | — |
| 363L00000X | Nurse Practitioner | R266323 | MD | Yes |
| 363L00000X | Nurse Practitioner | TP005136B | PA | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 10/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11391728 | CAQH | PA |
| 05 | — | PENDING | — | PA |