Individual
DR. BONNIE MARIE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
1048 PENNSYLVANIA AVE W, WARREN, PA 16365-1838
(814) 230-9111
(814) 313-1075
Mailing address
1048 PENNSYLVANIA AVE W, WARREN, PA 16365-1838
(814) 230-9111
(814) 313-1075
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP018639
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP018639
PASBON
PA
Enumeration date
08/23/2018
Last updated
09/05/2024
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