Provider Demographics
NPI:1073869947
Name:WOODWORTH, RAMONA (FNP)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:WOODWORTH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7091 E SPEEDWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1241
Mailing Address - Country:US
Mailing Address - Phone:888-371-3205
Mailing Address - Fax:520-806-7225
Practice Address - Street 1:7091 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1241
Practice Address - Country:US
Practice Address - Phone:888-371-3205
Practice Address - Fax:520-806-7225
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily