# MAURA WOODWARD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902130107
- **Authorized official:** MAURA J WOODWARD APRN (OWNER)
- **Authorized official phone:** (203) 287-0601

## Contact information

- **Practice address:** 2560 DIXWELL AVE, SUITE 3C, HAMDEN, CT 06514-1851
- **Practice address phone:** (203) 287-0601
- **Mailing address:** 2560 DIXWELL AVE, SUITE 3C, HAMDEN, CT 06514-1851
- **Mailing address phone:** (203) 287-0601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 001935 | CT | Yes |

## Other

- **Enumeration date:** 09/22/2009
- **Last updated:** 09/22/2009