Individual
RAE-LONDA MARIE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
1507 WABASH ST, SUITE 500B, MICHIGAN CITY, IN 46360-4300
(219) 861-8740
(219) 877-1029
Mailing address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 879-6531
(219) 872-7869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28165511A
IN
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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