Individual
KRISANN RAE WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
601 JOHN ST STE M-283A, KALAMAZOO, MI 49007-5341
(269) 349-7696
Mailing address
44107 PAW PAW RD, PAW PAW, MI 49079-9016
(269) 569-1770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284740NSA2102J
MI
Other
Enumeration date
02/04/2021
Last updated
08/05/2021
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