Provider Demographics
NPI:1306927876
Name:WOEHL, JAMES VERNON (CNP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:VERNON
Last Name:WOEHL
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HWY 71 S.
Mailing Address - Street 2:
Mailing Address - City:HOT SPINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57747
Mailing Address - Country:US
Mailing Address - Phone:605-745-2809
Mailing Address - Fax:605-745-2093
Practice Address - Street 1:1201 HWY 71 S.
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57747
Practice Address - Country:US
Practice Address - Phone:605-745-8910
Practice Address - Fax:605-745-2093
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily