Individual
KATHERINE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915
(978) 927-7880
(978) 524-6082
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 927-7880
(978) 524-6082
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
638
NC
367A00000X
Advanced Practice Midwife
Primary
RN2324394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110143501A
—
MA
Enumeration date
02/16/2017
Last updated
01/12/2022
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