Individual
MS. KRYSTAL SHANTE WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
595 VADEN DR, GRETNA, VA 24557-4157
(540) 769-3964
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180160
VA
Other
Enumeration date
02/04/2021
Last updated
09/09/2022
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