Suzanne Marie Woodhall, RN, AGACNP-BC
Nurse Practitioner, Acute Care in Mesa, AZ. Individual provider (NPI-1).
NPI number1508264201
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1508264201
- Entity type
- Individual (NPI-1)
- Name
- Suzanne Marie Woodhall
- Credential
- RN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2014
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | AP7680 | AZ | Yes |
| 363L00000X | Nurse Practitioner | AP7680 | AZ | |
| 364SG0600X | Clinical Nurse Specialist, Gerontology | AP7680 | AZ | |
| 390200000X | Student in an Organized Health Care Education/Training Program | RN 053277 | AZ |
Practice location
6750 E Baywood AveMesa, AZ 85206-1749
Phone 480-835-7111
Mailing address
6750 E Baywood AveMesa, AZ 85206-1749
Phone 480-835-7111
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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