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Individual

DR. SHELLEY B. WOODLEY

Active
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Individual

DR. SHELLEY B. WOODLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024166485
VA
363LF0000X
Family Nurse Practitioner
Primary
0024166485
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010197562
VA
01
C06778
GROUP PTAN
VA
Enumeration date
10/24/2005
Last updated
03/07/2023
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