MEDICARE: APRIL LEE WOODALL

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	374J00000X	Doula

General Provider Information

NPI Number	:	1699512285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL LEE WOODALL

Provider Business Mailing Address
First Line	:	6728 HOUGHTON ST
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1508
Country	:	US
Telephone Number	:	810-679-9902
Fax Number	:

Provider Business Practice Location Address
First Line	:	6728 HOUGHTON ST
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1508
Country	:	US
Telephone Number	:	810-679-9902
Fax Number	:

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

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/10/2024

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Directions to “ APRIL LEE WOODALL ” Practice Location

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