Dorshea Woodfork, LPN
Licensed Practical Nurse in Clinton, IA. Individual provider (NPI-1).
NPI number1962006452
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1962006452
- Entity type
- Individual (NPI-1)
- Name
- Dorshea Woodfork
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | p63977 | IA | Yes |
Practice location
518 8th Ave SClinton, IA 52732-5610
Phone 563-219-2864
Mailing address
518 8th Ave SClinton, IA 52732-5610
Phone 563-219-2864
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