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Individual

MS. MARIANNE O WOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2730 UNIVERSITY BLVD W STE 400, SILVER SPRING, MD 20902-1972
(443) 351-3376
(301) 933-0960
Mailing address
2217 WOODMONT DR, EXPORT, PA 15632-8939
(412) 445-9220
(412) 809-6885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F335201-01
NY
363L00000X
Nurse Practitioner
Primary
R266323
MD
363L00000X
Nurse Practitioner
TP005136B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11391728
CAQH
PA
05
PENDING
PA
Enumeration date
06/06/2006
Last updated
10/28/2024
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