Individual
NINA WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 LORALEE DR, ALBANY, NY 12205-2223
(518) 459-1333
(518) 459-0285
Mailing address
102 LORALEE DR, ALBANY, NY 12205-2223
(518) 459-1333
(518) 459-0285
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
457377-1
NY
Other
Enumeration date
09/15/2011
Last updated
09/19/2011
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