Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | 01062703 | IN |
Y | 2080P0216X | Pediatric Rheumatologist | MD46067 | TN |
NPI | 1043303944 |
---|---|
Provider Name | Dr. Amy Louise Woodward |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 12/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200835890 | (05) | IN |
H69264 | (02) |