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NPI Code Detail

MEDICARE: ERICA WOODSON NP

MEDICARE: ERICA WOODSON NP
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 Practitioner3015332KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner71012066AIN

General Provider Information

NPI Number : 1376145110
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA WOODSON NP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 305 NEW ALBANY PLZ
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4653
Country : US
Telephone Number : 812-668-8133
Fax Number : 877-772-5818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 03/04/2026

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