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Individual

ROQUELLE WOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
105 TRACY CT, CARY, NC 27513-5237
(216) 407-8064
Mailing address
105 TRACY CT, CARY, NC 27513-5237
(216) 407-8064

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
39658
OH
363L00000X
Nurse Practitioner
0027535
OH
363L00000X
Nurse Practitioner
Primary
5014572
NC
363L00000X
Nurse Practitioner
AP61608619
WA
363LF0000X
Family Nurse Practitioner
AP61608619
WA

Other

Enumeration date
12/16/2014
Last updated
11/08/2024
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