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
1	363LF0000X	Family Nurse Practitioner	3015332	KY
2	363LF0000X	Family Nurse Practitioner	71012066A	IN

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	:	04/07/2026

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Directions to “ ERICA WOODSON NP” Practice Location

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