Teresa K. Woodfill, R.N.

Individual provider Active NPI Administrator Registered Nurse · Cuba, NM

NPI 1235246877 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1235246877
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
R17241 (NM)
Practice address
6349 St Hwy 550
Cuba, NM 87013
Phone
(505) 289-3291
Fax
(505) 289-3648
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R17241NMMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X R17241 NM Yes

Addresses

Primary practice location

6349 St Hwy 550
Cuba, NM 87013

Mailing address

19 Woodfill Road
P.O. Box 113
Lindrith, NM 87029
Phone (505) 774-6672

Other providers in Cuba, NM

All providers in Cuba, NM · Administrator Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.