Provider Demographics
NPI:1477986909
Name:WOODALL, ELIZABETH A (AGACNP-BC, FNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:WOODALL
Suffix:
Gender:F
Credentials:AGACNP-BC, FNP-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:KARTCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGACNP-BC, FNP-C
Mailing Address - Street 1:2725 WIND RIVER LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2999
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2725 WIND RIVER LN
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-2999
Practice Address - Country:US
Practice Address - Phone:972-434-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167541363L00000X
TXAP135047363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner