National Provider Identifier

Maryann J Woodruff, LPN

Maryann J Woodruff, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Olean, NY and a listed phone number of (716) 373-0021.

NPI 1629390349Olean, NYLicensed Practical Nurse

Profile Overview

NPI
1629390349
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 22, 2010
Last Updated
October 16, 2024

Practice Location

  • 1355 Olean Portville RD
  • Olean, NY 14760-9416

Phone: (716) 373-0021

Mailing Address

  • 2839 Rogers RD
  • Allegany, NY 14706-9641

Specialties

  • Licensed Practical Nurse (164W00000X)

Endpoints

  • mwoodruff@casa-trinity.org

    Direct Messaging Address | Olean, NY 14760

    Personal Email Address

Full Record
NPI
1629390349
Entity Type
Individual
Last Name
Woodruff
First Name
Maryann
Middle Name
J
Credential
LPN
Provider Other Last Name
Fancher
Provider Other First Name
Maryann
Provider Other Middle Name
J
Provider Other Last Name Type Code
5
Mailing Street Address
2839 Rogers RD
Mailing City
Allegany
Mailing State
NY
Mailing ZIP Code
14706-9641
Mailing Country
US
Mailing Phone
(585) 307-6331
Practice Street Address
1355 Olean Portville RD
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-9416
Practice Country
US
Practice Phone
(716) 373-0021
Practice Fax
(716) 373-1710
Enumeration Date
February 22, 2010
Last Updated
October 16, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
October 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
161039939 (NY, All Other Insurances), 161039939 (NY)