Individual
MIA WOODROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1936 MAGAZINE ST, NEW ORLEANS, LA 70130-5016
(504) 529-5558
Mailing address
1936 MAGAZINE ST, NEW ORLEANS, LA 70130-5016
(504) 529-5558
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP08610
AP LICENSE NUMBER
LA
Enumeration date
01/20/2016
Last updated
10/22/2021
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