Individual
ELIZABETH UNIVA WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP AGNP
Contact information
Practice address
PO BOX 3000, PINEHURST, NC 28374-3000
(910) 715-2164
(910) 715-2173
Mailing address
155 MEMORIAL DRIVE, P.O. BOX 3000, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-2173
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24881
SC
363L00000X
Nurse Practitioner
5009688
NC
363LG0600X
Gerontology Nurse Practitioner
5009688
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6635
—
SC
01
—
SCJ9955019
MEDICARE PIN
SC
01
—
SCJ9959068
MEDICARE PIN
SC
01
—
SCJ995J577
MEDICARE PIN
SC
Enumeration date
09/26/2017
Last updated
10/25/2021
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