Individual
MELISSA RUSS WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 201, CONCORD, NC 28025-2441
(704) 403-1911
(704) 403-1901
Mailing address
PO BOX 602344, CHARLOTTE, NC 28260-2344
(704) 403-1911
(704) 403-1901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
183159
NC
363LF0000X
Family Nurse Practitioner
5004200
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004438
—
NC
Enumeration date
10/16/2008
Last updated
07/26/2013
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