1003829466 NPI number — MRS. ALMA KAY B. WOOLARD CNM

Table of content: MRS. ALMA KAY B. WOOLARD CNM (NPI 1003829466)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003829466 NPI number — MRS. ALMA KAY B. WOOLARD CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOOLARD
Provider First Name:
ALMA
Provider Middle Name:
KAY B.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003829466
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8101 CARNOSTIE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAURINBURG
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28352-7864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-610-4537
Provider Business Mailing Address Fax Number:
910-610-4537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2817 REILLY ROAD MCXC-COD CREDENTIALS
Provider Second Line Business Practice Location Address:
WOMACK ARMYMEDICAL CENTER
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-907-8922
Provider Business Practice Location Address Fax Number:
910-907-6069
Provider Enumeration Date:
08/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  CNM095 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)