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NPI Code Detail

MEDICARE: DANIEL N WOODYARD CRNA

MEDICARE: DANIEL N WOODYARD CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.0021137OH
2367500000XCertified Registered Nurse Anesthetist58174WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154318962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL N WOODYARD CRNA
Provider Business Mailing Address
First Line : 3211 DUDLEY AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-1813
Country : US
Telephone Number : 304-422-3904
Fax Number : 304-422-9324
Provider Business Practice Location Address
First Line : 1400 HOSPITAL DR
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9202
Country : US
Telephone Number : 304-757-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 06/11/2025

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Directions to “ DANIEL N WOODYARD CRNA” Practice Location

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