NPI Code Details Logo

NPI 1518557545

NPI 1518557545 : NICOLE WOODFIELD DNP, NNP-BS : SEATTLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1518557545
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NICOLE WOODFIELD DNP, NNP-BS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/23/2021
-----------------------------------------------------
    Last Update Date     |    08/08/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    747 BROADWAY 
-----------------------------------------------------
    City                 |    SEATTLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98122-4379
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-386-6000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    23107 51ST AVE W 
-----------------------------------------------------
    City                 |    MOUNTLAKE TERRACE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98043-4840
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-556-7918
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    RN60486135
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LN0000X
-----------------------------------------------------
    Taxonomy Name        |    Neonatal Nurse Practitioner
-----------------------------------------------------
    License Number       |    61436127
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.