Individual
VIRGINIA WOOLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5558
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
75461
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43814100
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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