Individual
VICTORIA THURSTON WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5409 AVENUE O, SUITE 103, FORT MADISON, IA 52627
(319) 372-9370
(319) 372-8119
Mailing address
5409 AVENUE O, SUITE 103, FORT MADISON, IA 52627
(319) 372-9370
(319) 372-8119
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
T04220
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13583
COMPSYCH
—
01
—
234894
MIDLANDS CHOICE
—
01
—
42220
WELLMARK BCBS
—
01
—
43547
IOWA HEALTH SOLUTIONS
—
01
—
66200
IOWA HEALTH SOLUTIONS COM
—
01
—
9095
UBH MAIL HANDLERS BENEFIT
—
Enumeration date
03/14/2006
Last updated
07/08/2007
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