MR. RONALD JAY WOODALL RN NPP NPI 1629335948

NPI Information

NPI: 1629335948
Provider Name: MR. RONALD JAY WOODALL, RN NPP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
38770 GARFIELD RD
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 421-4204
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MR. Ronald Jay Woodall, RN NPP is an acute care nurse practitioner in Clinton Township, MI. MR. Ronald Jay Woodall, RN NPP NPI is 1629335948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

38770 GARFIELD RD
CLINTON TOWNSHIP, MI
ZIP 48038-620
Phone: (586) 421-4204
Fax: (586) 421-4222

The NPI 1629335948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 1/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	4704201855	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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