Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO03473 | DE |
N | 222Z00000X | Podiatrist | CPO03473 | DE |
Y | 224P00000X | Prosthetist | CPO03473 | DE |
NPI | 1053668848 |
---|---|
Provider Name | Amy Woznicki |
First Address | Durham, NC 27703-8410 |
Second Address | Durham, NC 27703-8410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2012 |
Last Update Date | 06/11/2014 |