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Latrera Campbell Woodberry, FNP
Family Nurse Practitioner in Dillon, South Carolina
NPI 1679037444

Latrera Campbell Woodberry is a Family Nurse Practitioner based in Dillon, SC and is specialized in Family. Latrera Campbell Woodberry practices in Dillon, SC and has the professional credentials of FNP. The NPI Number for Latrera Campbell Woodberry is 1679037444 and holds a License No. 5015386 (South Carolina).

The current practice location address for Latrera Campbell Woodberry is 2518 Highway 9 E, Dillon, SC and can be reached out via phone at 843-841-5313.

Location: 2518 Highway 9 E, Dillon, SC, 29536-6166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679037444
Provider Name
Latrera Campbell Woodberry
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2518 Highway 9 E, Dillon, SC, 29536-6166
Phone Number
843-841-5313
Fax Number
Provider Enumeration Date
01/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2518 Highway 9 E
City
Dillon
State
South Carolina
Zip
29536-6166
Phone Number
843-841-5313
Fax Number
person
Provider Business Mailing Address Details
Address
2518 Highway 9 E
City
Dillon
State
South Carolina
Zip
29536-6166
Phone Number
843-841-5313
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11017086 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5015386 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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