Individual provider · Type 1 NPI
Bridget Lucas Woodard, RN
Family Nurse Practitioner · Raleigh, NC
NPI number
1770867418
Active · reactivated Jun 30, 2021
Practice location
107 Sunnybrook Rd
Raleigh, NC 27610-1827
Mailing address
284 Executive Park Drive, Suite 100
Concord, NC 28025-1894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 201867 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | F0521032 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770867418
Bridget Lucas Woodard, RN's National Provider Identifier is 1770867418, issued on Sep 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Aug 12, 2021.