Individual
MRS. ROBERTA JEAN WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC
Contact information
Practice address
3755 ORANGE PL, SUITE 101, BEACHWOOD, OH 44122-4426
(216) 593-0030
(216) 593-0031
Mailing address
3755 ORANGE PL, SUITE 101, BEACHWOOD, OH 44122-4426
(216) 593-0030
(216) 593-0031
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN137751/NP10461
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012395
—
OH
Enumeration date
10/16/2009
Last updated
07/31/2012
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