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Ebonique Latrice Woodard, NP
Family Nurse Practitioner in Clawson, Michigan
NPI 1437719903

Ebonique Latrice Woodard is a Family Nurse Practitioner based in Clawson, MI and is specialized in Family. Ebonique Latrice Woodard practices in Clawson, MI and has the professional credentials of NP. The NPI Number for Ebonique Latrice Woodard is 1437719903 and holds a License No. 4704285459 (Michigan).

The current practice location address for Ebonique Latrice Woodard is 1402 W 14 Mile Rd, Clawson, MI and can be reached out via phone at 866-389-2727.

Location: 1402 W 14 Mile Rd, Clawson, MI, 48017-1499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437719903
Provider Name
Ebonique Latrice Woodard
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1402 W 14 Mile Rd, Clawson, MI, 48017-1499
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1402 W 14 Mile Rd
City
Clawson
State
Michigan
Zip
48017-1499
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
1402 W 14 Mile Rd
City
Clawson
State
Michigan
Zip
48017-1499
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704285459 (Michigan)
Definition
Definition to come...
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