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Individual

SUNSHINE MIA WOODARD

Active
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Individual

SUNSHINE MIA WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28178782A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006842A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001637525
ANTHEM PTAN
IN
01
—
264430D86
MEDICARE PTAN
IN
05
—
300000236
—
IN
01
—
P02656842
RAILROAD PTAN
IN
Enumeration date
12/19/2016
Last updated
06/26/2026
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