Provider Demographics
NPI:1114152931
Name:WOODEN, CHRISTENE NICOLE (APRN, ANP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTENE
Middle Name:NICOLE
Last Name:WOODEN
Suffix:
Gender:F
Credentials:APRN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 ASHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-5514
Mailing Address - Country:US
Mailing Address - Phone:318-878-5995
Mailing Address - Fax:
Practice Address - Street 1:102 THOMAS RD STE 104
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7365
Practice Address - Country:US
Practice Address - Phone:318-329-8485
Practice Address - Fax:318-329-8489
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN098103-APO5769363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health