Individual
DAVELIN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5000
Mailing address
1839 MADISON AVE APT 507, MEMPHIS, TN 38104-2799
(662) 816-7113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000031880
TN
Other
Enumeration date
04/12/2022
Last updated
07/21/2022
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