MILDRED SUE WOODRUFF APRN BSN MSN FNP NPI 1629362199

NPI Information

NPI: 1629362199
Provider Name: MILDRED SUE WOODRUFF, APRN, BSN, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LINDA DELO DO PA

PECOS Registration: Yes

Address:
1505 DELAWARE AVE
FORT PIERCE, FL
ZIP 34950
Phone: (772) 461-1402
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Mildred Sue Woodruff, APRN, BSN, MSN, FNP is a family nurse practitioner in Fort Pierce, FL with 14 years of experience. Mildred Sue Woodruff, APRN, BSN, MSN, FNP NPI is 1629362199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1505 DELAWARE AVE
FORT PIERCE, FL
ZIP 34950-975
Phone: (772) 461-1402
Fax: (561) 847-2306

The NPI 1629362199 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 6/2/2011 and was last updated on 5/12/2016.

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	163W00000X	Registered Nurse		28196047A	INDIANA	No
2	363LW0102X	Nurse Practitioner	Women's Health	3006942	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	ARNP9244530	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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