Individual
TAMRA WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01059168A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01059168
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451600
—
IN
Enumeration date
07/10/2006
Last updated
05/18/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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