Individual
MRS. STAYCE LYNN WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
705 RILEY HOSPITAL DR, ROOM 4340, INDIANAPOLIS, IN 46202-5109
(317) 948-3441
(317) 944-3107
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71002385B
IN
Other
Enumeration date
05/30/2008
Last updated
11/30/2020
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