Healthcare Provider Details

I. General information

NPI: 1346186202
Provider Name (Legal Business Name): MRS. SAMANTHA ELIZABETH WOODRUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6045
  • Fax: 570-271-6542
Mailing address:
  • Phone: 570-271-6045
  • Fax: 570-271-6542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036227
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN682731
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: