Provider Demographics
NPI:1427339266
Name:WOODHULL, DONNA (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:WOODHULL
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 1:75 BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2714
Mailing Address - Country:US
Mailing Address - Phone:609-521-7106
Mailing Address - Fax:856-435-1271
Practice Address - Street 1:900 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4426
Practice Address - Country:US
Practice Address - Phone:856-361-1100
Practice Address - Fax:856-488-1450
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08395600163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult