Individual
RAYMOND FREDERICK WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1373 N SR 62, MADISON, IN 47250-7328
(812) 801-0800
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9378
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017752
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300090765
—
IN
05
—
7100977090
—
KY
01
—
K0010685
MEDICARE
KY
Enumeration date
03/09/2023
Last updated
08/06/2024
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