Individual
MCKENZIE D WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 LOCUST ST, DES MOINES, IA 50309-4104
(515) 805-0956
(515) 335-2298
Mailing address
PO BOX 672, ANKENY, IA 50021-0672
(515) 805-0956
(515) 335-2298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
G164206
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G164206
IA
Other
Enumeration date
08/06/2021
Last updated
11/28/2024
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