Woodruff, Marchell R
Woodruff, Marchell R is an individual health care provider with primary practice located at 101 Hospital Loop Ne Ste 201 , Albuquerque NM 87109-2128. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Woodruff, Marchell R can be contacted via phone (505) 727-4430.Contact Information
Primary practice address
101 Hospital Loop Ne Ste 201
Albuquerque NM 87109-2128
Phone: (505) 727-4430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2014-0059 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2014-0059 | New Mexico |
Profile Details
| NPI number | 1609271337 |
|---|---|
| LBN Legal business name | Woodruff, Marchell R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2014 |
| Last updated | Apr 27th, 2023 - about 2 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 | 1609271337 | NPPES |
| New Mexico | MEDICAID | 81128827 |
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