Healthcare Provider Details

I. General information

NPI: 1831777358
Provider Name (Legal Business Name): HANNAH WOODRUFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 HERRICK ST
BEVERLY MA
01915-2757
US

IV. Provider business mailing address

83 HERRICK ST STE 2004
BEVERLY MA
01915-2757
US

V. Phone/Fax

Practice location:
  • Phone: 978-927-4800
  • Fax: 978-232-5561
Mailing address:
  • Phone: 978-927-4800
  • Fax: 978-232-5561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberR79546
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: