Individual
CONNIE S WOODYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
43037
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.13830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010181
—
WV
Enumeration date
08/06/2007
Last updated
06/11/2025
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