person
Lisa Rae Woodruff, ANP
Psychiatric/Mental Health Nurse Practitioner in Battle Creek, Michigan
NPI 1346510252

Lisa Rae Woodruff is a Psychiatric/Mental Health Nurse Practitioner based in Lawton, MI and is specialized in Psychiatric/Mental Health. Lisa Rae Woodruff practices in Battle Creek, MI and has the professional credentials of ANP. The NPI Number for Lisa Rae Woodruff is 1346510252 and holds a License No. 4704253495 (Michigan).

The current practice location address for Lisa Rae Woodruff is 200 Michigan Ave W Ste 103, Battle Creek, MI and can be reached out via phone at 269-598-7488. You can also correspond with Lisa Rae Woodruff through the mailing address at 28284 62ND AVE, LAWTON, MI - 49065-5613 (mailing address contact number: 269-547-7630).

Location: 200 Michigan Ave W Ste 103, Battle Creek, MI, 49065-5613
person
Provider Profile Details
NPI Number
1346510252
Provider Name
Lisa Rae Woodruff
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
200 Michigan Ave W Ste 103, Battle Creek, MI, 49065-5613
Phone Number
269-598-7488
Fax Number
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801818752 01 MI BCBSM - BRONSON LAKEVIEW BEHAVIORAL MEDICINE
1346510252 05 MI
institution
Provider Business Practice Location Address Details
Address
200 Michigan Ave W Ste 103
City
State
Zip
49017-3632
Phone Number
269-598-7488
Fax Number
person
Provider Business Mailing Address Details
Address
28284 62Nd Ave
City
State
Zip
49065-5613
Phone Number
269-547-7630
Fax Number
269-225-0607
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
185256 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4704253495 (Michigan)
Definition
Definition to come...
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