Individual
STACEY ANN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3333 BURNET AVE, ML 2008, CINCINNATI, OH 45229-2833
(859) 512-8153
Mailing address
804 FAIRLANE RD, BUTLER, KY 41006-8679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0036157
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0036157
OH
Other
Enumeration date
05/20/2024
Last updated
07/16/2024
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