Woodetta Maulana

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00165287 Issued in WA

Practice address

1912 N Pearl St
Tacoma, WA 98406-2457

Phone

(253) 879-0140

NPI assigned

Dec 2, 2021

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1275291601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 N PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062457",
            "telephone_number": "253-879-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULANA",
        "first_name": "WOODETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00165287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Walter Mattson, O.D.
• Sandra C Mattson
• Sharon Ann Mattson, RN
• Olya P Mauer
• Anna Elizabeth Maughn
• Lauren Maulden
• McKenzie L Maule
• Ethan Karl Maulsby
• Donald E Maurer, MD
• Michele Lefevre Maurer, A.R.N.P.

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.