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NPI Code Detail

MEDICARE: PATRICIA K WOELTZ APRN

MEDICARE: PATRICIA K WOELTZ APRN
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
1363LA2100XAcute Care Nurse Practitioner3011729KY
2363LA2100XAcute Care Nurse PractitionerRN335065GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN335065OTHERGASTATE LICENSE

General Provider Information

NPI Number : 1336679729
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA K WOELTZ APRN
Provider Business Mailing Address
First Line : 1301 SPRING ST NW UNIT 2220
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2889
Country : US
Telephone Number : 270-589-9597
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-501-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2017
Last Update Date : 12/11/2025

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