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NPI Code Detail

MEDICARE: EMANDA WOODRING

MEDICARE:   EMANDA  WOODRING
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
1106H00000XMarriage & Family TherapistMI4168NV

General Provider Information

NPI Number : 1891382461
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMANDA WOODRING
Provider Business Mailing Address
First Line : 745 RUBY AVE
Second Line :
City : RENO
State : NV
Zip : 89503-3429
Country : US
Telephone Number : 775-323-9676
Fax Number :
Provider Business Practice Location Address
First Line : 3732 LAKESIDE DR STE 202
Second Line :
City : RENO
State : NV
Zip : 89509-4519
Country : US
Telephone Number : 320-905-4345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2020
Last Update Date : 10/27/2023

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Directions to “ EMANDA WOODRING ” Practice Location

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