Provider Demographics
NPI:1245628379
Name:WOODLEY, VALERIE ANN (RN-BSN)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:WOODLEY
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N MAIN ST
Mailing Address - Street 2:SUITE 1360
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45423-1021
Mailing Address - Country:US
Mailing Address - Phone:937-252-2003
Mailing Address - Fax:937-258-5478
Practice Address - Street 1:40 N MAIN ST
Practice Address - Street 2:SUITE 1360
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45423-1021
Practice Address - Country:US
Practice Address - Phone:937-252-2003
Practice Address - Fax:937-258-5478
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.123689163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice