Provider Demographics
NPI:1225576440
Name:WOODARD, ERICA RESHEA (MS-HEP, BSHA, CD/CPD)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:RESHEA
Last Name:WOODARD
Suffix:
Gender:F
Credentials:MS-HEP, BSHA, CD/CPD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:RESHEA
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11205 NW 114TH ST.
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099
Mailing Address - Country:US
Mailing Address - Phone:580-340-9334
Mailing Address - Fax:
Practice Address - Street 1:11205 NW 114TH ST.
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099
Practice Address - Country:US
Practice Address - Phone:580-465-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator