Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 1-040477 | AL |
NPI | 1043558356 |
---|---|
Provider Name | Stephanie Lynn Woods |
First Address | Alabaster, AL 35007-8703 |
Second Address | Alabaster, AL 35007-8703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2013 |
Last Update Date | 21/01/2013 |