Individual
MELINDA W.M. WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6508 SMOOTH THORN CT, JACKSONVILLE, FL 32258-5498
(904) 309-4458
Mailing address
6508 SMOOTH THORN CT, JACKSONVILLE, FL 32258-5498
(904) 309-4458
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209-007514
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3273322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300308600
—
FL
Enumeration date
02/13/2006
Last updated
07/19/2012
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