Provider Demographics
NPI:1477875474
Name:WOODWORTH, ALLISON NICHOLE (FNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICHOLE
Last Name:WOODWORTH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E WARNER RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3224
Mailing Address - Country:US
Mailing Address - Phone:480-897-3300
Mailing Address - Fax:480-897-3312
Practice Address - Street 1:1001 E WARNER RD
Practice Address - Street 2:SUITE 107
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3224
Practice Address - Country:US
Practice Address - Phone:480-897-3300
Practice Address - Fax:602-889-5834
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily