Provider Demographics
NPI:1932888278
Name:WOODBURY, HOPE F (LPN)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:F
Last Name:WOODBURY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 VINING DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-7579
Mailing Address - Country:US
Mailing Address - Phone:320-431-0031
Mailing Address - Fax:
Practice Address - Street 1:2127 VINING DR UNIT D
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-7579
Practice Address - Country:US
Practice Address - Phone:320-431-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN693475164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse