Leslie S Wooldridge in Norton Shores - Nurse Practitioner

Leslie S Wooldridge - NPI 1144264821

Leslie S Wooldridge is a Nurse Practitioner in Norton Shores, Michigan. Leslie S Wooldridge practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leslie S Wooldridge is 1144264821. The last update date is 2012-12-04.

Leslie S Wooldridge's current location address is 6401 Prairie St, Norton Shores, Michigan. You can contact this provider via phone number 2317277944 and fax number 2317247812. The mailing address for Leslie S Wooldridge is 6401 Prairie St, Norton Shores, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie S Wooldridge
Address 6401 Prairie St, Norton Shores, Michigan
Phone Number 2317277944
Fax Number 2317247812
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1144264821
Provider Enumeration Date 2006-06-15
Last Updated Date 2012-12-04

Provider Mailing Address Detail

Address 6401 Prairie St
City Norton Shores
State Michigan (MI)
Post Code 494447840
Phone Number 2317277944
Fax Number 2317247812

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 4704099434
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4837110 MI --
MI1763011 MI MEDICARE PTAN

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FAQs about Leslie S Wooldridge

What is the unique provider identifier assigned to Leslie S Wooldridge?

The Leslie S Wooldridge has been issued the NPI (National Provider Identifier) 1144264821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Leslie S Wooldridge?

The Leslie S Wooldridge is physically situated at 6401 Prairie St, in the city of Norton Shores, state of MI, with the postal code 494447840.

What is the Leslie S Wooldridge's area of specialization and corresponding taxonomy classification?

The Leslie S Wooldridge's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

When was the Leslie S Wooldridge's 1144264821 issued?

The Leslie S Wooldridge's 1144264821 was issued on 2006-06-15.

When was the information regarding Leslie S Wooldridge most recently updated?

The details pertaining to the Leslie S Wooldridge, including its address, specialty, and other relevant information, were last refreshed on 2012-12-04.

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