Diane Kay Woodyard, RN
Individual provider Active NPI General Practice Registered Nurse · Edinburg, PA
NPI 1447469713 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447469713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN347998L (PA)
- Practice address
- 217 Canary LN
Edinburg, PA 16116-6415 - Phone
- (724) 071-2795
- NPI assigned
- May 22, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN347998L | PA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN347998L | PA | Yes |
Addresses
Primary practice location
217 Canary LN
Edinburg, PA 16116-6415
Mailing address
217 Canary LN
Edinburg, PA 16116-6415
Phone (724) 071-2795
Other providers in Edinburg, PA
All providers in Edinburg, PA · General Practice Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.