Provider Demographics
NPI:1295386886
Name:WOODSON, AUBREY MICHELLE (MSN, RN, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:MICHELLE
Last Name:WOODSON
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2222
Mailing Address - Country:US
Mailing Address - Phone:415-470-1420
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-1552
Practice Address - Country:US
Practice Address - Phone:919-668-4804
Practice Address - Fax:919-660-2041
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201913809363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics