| NPI | 1114366754 |
|---|---|
| Professional Name | STEFFANY R WOODERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2014036817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002017255) |
| 163W00000X Registered Nurse (Licence: KS 14107455061) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76600-061) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014036817) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2015-07-14 |