Individual
LINDA SUE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
158 E SUNSET DR, SUITE B, MEDFORD, OK 73759-2401
(580) 395-2319
(580) 395-2551
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 395-2319
(580) 395-2551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0031696
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037530A
—
OK
Enumeration date
04/06/2006
Last updated
02/12/2018
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