Individual
MRS. JULIE WOODBURY
Active
Individual
MRS. JULIE WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
663926
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP115181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32943801
—
TX
05
—
32943802
—
TX
01
—
663926
RN
TX
01
—
7069
PRESCRIPTION AUTHORITY
TX
01
—
AP115181
APRN
TX
Enumeration date
11/03/2006
Last updated
09/22/2021
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