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Individual
STEPHANIE F. WOOLFORK
Active
Individual
STEPHANIE F. WOOLFORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156638204
—
TX
05
—
156638207
—
TX
01
—
156638208
MEDICAID CSHCN
TX
01
—
85480U
BCBS
TX
Enumeration date
12/28/2005
Last updated
09/13/2013
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