Individual provider · Type 1 NPI

Lance Raymond Woody, AGACNP-BC

Acute Care Nurse Practitioner · Detroit, MI

NPI number 1699296772 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Call (313) 343-3605 Map

Other practice locations

22622 Oconnor St, St. Clair Shores, MI 48080-4122 · (586) 215-7241

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	4704273806 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1699296772

Lance Raymond Woody, AGACNP-BC's National Provider Identifier is 1699296772, issued on Jun 29, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Sep 2, 2022.