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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.

Location: 200 Michigan Ave W Ste 103, Battle Creek, MI, 49065-5613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Battle Creek
State
Michigan
Zip
49017-3632
Phone Number
269-598-7488
Fax Number
person
Provider Business Mailing Address Details
Address
200 Michigan Ave W Ste 103
City
Battle Creek
State
Michigan
Zip
49017-3632
Phone Number
269-598-7488
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
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
363LP0808X
License No.
4704253495 (Michigan)
Definition
Definition to come...
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