Individual
SHANLEE JANE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(195) 202-4954
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348559
—
OH
Enumeration date
08/17/2017
Last updated
05/18/2022
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