Nadine Wodwaski, DNP, MSN-ED, ACNS, R

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

4704190084 Issued in MI

Practice address

3166 Otter Dr
Troy, MI 48083-5727

Phone

(248) 719-8165

NPI assigned

Jul 10, 2023

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1821776956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 OTTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835727",
            "telephone_number": "248-719-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 OTTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835727",
            "telephone_number": "248-719-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODWASKI",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN-ED, ACNS, R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MI",
            "license": "4704190084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor George Wittkowski, DDS
• Jaimmie Ilana Witucki, LMSW
• Delaney Witz
• Alexander Wizner, LLBSW
• Nathan A Wloch, PA
• Meagan Maxie Woerner
• Joyce A Wolf, M.D.
• Lynda J Wolf, MD
• Kimberly Wolfe Davis, DNP,APRN, FNP-BC
• Gary Michael Wolfe II, PA-C

• School Registered Nurse in Troy, MI
• Providers in Troy, MI by specialty
• School Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.