THERESA ROSE WOODARD

BLOOMINGTON, IN
NPI1528342730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71003686A)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
-- THERESA ROSE WOODARD NP
3209 W FULLERTON PIKE STE E
BLOOMINGTON, IN 47403-4060
Phone number: 812-825-6102
Mailing Address
-- THERESA ROSE WOODARD NP
5725 S BEVERLY DR
BLOOMINGTON, IN 47401-9681
Phone number: 812-650-2634