Provider Demographics
NPI:1821162058
Name:WOODWORTH, LUCY ANNE (RN)
Entity Type:Individual
Prefix:
First Name:LUCY ANNE
Middle Name:
Last Name:WOODWORTH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LUCY ANNE
Other - Middle Name:
Other - Last Name:WOODWORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN852672
Mailing Address - Street 1:1665 MEDICAL BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110
Mailing Address - Country:US
Mailing Address - Phone:239-513-7400
Mailing Address - Fax:239-513-7435
Practice Address - Street 1:1665 MEDICAL BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-513-7400
Practice Address - Fax:239-513-7435
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN852672171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator