Individual
TABITHA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(907) 352-2880
Mailing address
8826 E WOLF CREEK RD, WASILLA, AK 99654-9412
(952) 220-8087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06230854
AK
Other
Enumeration date
07/24/2023
Last updated
11/06/2023
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