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Contact Information

ANGELA M WOODRUM, RN
8601 CHARENTE WAY
ELK GROVE, CA95758-7028
 Phone: 623-399-9996
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Medically Fragile Infants and Children Day Care

261QM3000X
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for ANGELA M WOODRUM · (Female)

NPI # 1417334558
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/28/2015
Last updated 04/28/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 840059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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