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NPI Code Detail

MEDICARE: MRS. GINGER LYNN WOODALL ARNP-CNP

MEDICARE: MRS. GINGER LYNN WOODALL ARNP-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner75226OK

General Provider Information

NPI Number : 1295036838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINGER LYNN WOODALL ARNP-CNP
Provider Business Mailing Address
First Line : 800 FRISCO
Second Line :
City : CLINTON
State : OK
Zip : 73601-3306
Country : US
Telephone Number : 580-323-2700
Fax Number : 580-323-2276
Provider Business Practice Location Address
First Line : 800 FRISCO AVE
Second Line :
City : CLINTON
State : OK
Zip : 73601-3306
Country : US
Telephone Number : 580-323-2700
Fax Number : 580-323-2276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2010
Last Update Date : 08/21/2012

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