Individual
KIMBERLY R WOODLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP, BC
Contact information
Practice address
340 RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 537-6600
Mailing address
340 RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 537-6600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145325
TX
363LG0600X
Gerontology Nurse Practitioner
AP145325
TX
Other
Enumeration date
03/03/2020
Last updated
03/26/2020
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