Individual
TRAVIS WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3021 FREDERICK RD, OPELIKA, AL 36801-7145
(334) 737-6126
(334) 737-6382
Mailing address
PO BOX 2738, OPELIKA, AL 36803-2738
(334) 737-6126
(334) 737-6382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-118142
AL
363L00000X
Nurse Practitioner
RN202209
GA
Other
Enumeration date
06/07/2017
Last updated
06/07/2022
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