Individual
CHERIE LYNN WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
312 POWERS RD, BINGHAMTON, NY 13903-6508
(607) 237-0513
(607) 584-4499
Mailing address
312 POWERS ROAD, BINGHAMTON, NY 13903
(607) 237-0513
(607) 584-4499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
463205-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02872975
MEDICAID PROVIDER NUMBER
NY
Enumeration date
05/06/2008
Last updated
05/06/2008
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