MEDICARE: MS. CYNTHIA L WOODCOCK FP/MHNP

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
1	363LF0000X	Family Nurse Practitioner	2017038962	MO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209.021801	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295735876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA L WOODCOCK FP/MHNP

Provider Business Mailing Address
First Line	:	LANDSTUHL REGIONAL MEDICAL CENTER
Second Line	:	UNIT 33100
City	:	APO
State	:	AE
Zip	:	09180-3100
Country	:	US
Telephone Number	:	314-590-4522
Fax Number	:

Provider Business Practice Location Address
First Line	:	LANDSTUHL REGIONAL MEDICAL CENTER
Second Line	:	UNIT 33100
City	:	APO
State	:	AE
Zip	:	09180-3100
Country	:	US
Telephone Number	:	314-590-4522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	03/12/2025

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