Individual
KAYLA MARIE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 N LITHODORA AVE, STAR, ID 83669-6419
(559) 356-6696
Mailing address
2500 N LITHODORA AVE, STAR, ID 83669-6419
(559) 356-6696
(559) 356-6696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6761471
ID
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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