Individual
DR. TERRY NYE WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 E 22ND ST, FREMONT, NE 68025-2606
(402) 727-5500
(402) 727-6047
Mailing address
220 E 22ND ST, FREMONT, NE 68025-2606
(402) 727-5500
(402) 727-6047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18519
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4707111013
—
NE
Enumeration date
09/19/2006
Last updated
05/10/2012
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