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NPI Code Detail

MEDICARE: MRS. SAMANTHA ELIZABETH WOODRUFF

MEDICARE: MRS. SAMANTHA ELIZABETH WOODRUFF
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
1163W00000XRegistered NurseRN682731PA

General Provider Information

NPI Number : 1346186202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA ELIZABETH WOODRUFF
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-0001
Country : US
Telephone Number : 570-271-6045
Fax Number : 570-271-6542
Provider Business Practice Location Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-0001
Country : US
Telephone Number : 570-271-6045
Fax Number : 570-271-6542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ MRS. SAMANTHA ELIZABETH WOODRUFF ” Practice Location

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