Individual
BRIDGETTE ANN WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5422
Mailing address
215 E 1ST ST, DIXON, IL 61021-3166
(815) 285-5422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014291
IL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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