Individual
NICOLE M WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11011 MERIDIAN AVE N STE 201, SEATTLE, WA 98133-8967
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006825
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006825
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881703536
—
WA
Enumeration date
08/29/2006
Last updated
11/06/2019
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