Individual
RENADA R. WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
508 HIGH ST, MOUNT HOLLY, NJ 08060-1052
(609) 261-8963
Mailing address
24 CYPRESS POINT RD, MOUNT HOLLY, NJ 08060-4742
(609) 351-2349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00459600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00459600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0455091
MEDICAID GROUP
NJ
01
—
381020
MEDICARE GROUP
NJ
Enumeration date
05/06/2014
Last updated
12/21/2020
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