Provider Demographics
NPI:1184193492
Name:ORDORICA-WOODY, PATRICA (RN, BSN)
Entity Type:Individual
Prefix:
First Name:PATRICA
Middle Name:
Last Name:ORDORICA-WOODY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:ORDORICA-WOODY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO DOWNS
Mailing Address - State:NM
Mailing Address - Zip Code:88346-0846
Mailing Address - Country:US
Mailing Address - Phone:575-258-6303
Mailing Address - Fax:575-258-5578
Practice Address - Street 1:203 WHITE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-7728
Practice Address - Country:US
Practice Address - Phone:575-258-6303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR41881163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool