Provider Demographics
NPI:1457122095
Name:WOODRUFF, KARLA (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:
Last Name:WOODRUFF
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 ELDERBERRY CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6224
Mailing Address - Country:US
Mailing Address - Phone:505-715-7535
Mailing Address - Fax:
Practice Address - Street 1:5721 ELDERBERRY CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-6224
Practice Address - Country:US
Practice Address - Phone:505-715-7535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM77387363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty