Woodall, Katherine
Woodall, Katherine is an individual health care provider with primary practice located at 85 Herrick St , Beverly MA 01915. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Woodall, Katherine can be contacted via phone (978) 927-7880.Contact Information
Primary practice address
85 Herrick St
Beverly MA 01915
Phone: (978) 927-7880
Fax: (978) 524-6082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN2324394 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 638 | North Carolina |
Profile Details
| NPI number | 1124567680 |
|---|---|
| LBN Legal business name | Woodall, Katherine |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2017 |
| Last updated | Jan 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124567680 | NPPES |
| Massachusetts | MEDICAID | 110143501A |
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