Individual
THERESA ROSE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3209 W REDDY WAY STE A, BLOOMINGTON, IN 47403-4089
(812) 825-0822
Mailing address
3209 W REDDY WAY STE A, BLOOMINGTON, IN 47403-4089
(812) 825-0822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003686A
IN
Other
Enumeration date
10/06/2011
Last updated
03/28/2025
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