Dwana Shanee Woullard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

116003 Issued in OH

Practice address

4675 Old Salem Rd
Englewood, OH 45322-2509

Phone

(937) 572-7131

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1033450747",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4675 OLD SALEM RD",
            "city": "ENGLEWOOD",
            "state": "TERRITORY",
            "postal_code": "45322",
            "telephone_number": "937-572-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 OLD SALEM RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222509",
            "telephone_number": "937-572-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOULLARD",
        "first_name": "DWANA",
        "middle_name": "SHANEE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "116003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L. Wolf, L.M.T.
• Woodruff Corporation LLC.
• Nicole L Woodruff
• Leiland Carter Woods, CASE MANAGER
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• Kylie Alinda Yenney, RPH
• Camila Zamorano Restrepo, ATC
• Kristy A Zechiel, MD
• Layla Melissa Zickefoose, LCSW, LISW

• Licensed Practical Nurse in Englewood, OH
• Providers in Englewood, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.