Whalio Doctors

NPI 1497792659

Charles Vincent Woodson, CRNA

Practitioner Certified Registered Nurse Anesthetist Bloomington, IN

Practice location

Address
2920 McIntire Drive, Suite 150 Attn: Maria Mitchell, Bloomington, IN 47403
Phone
(812) 337-5003
Fax
(812) 337-5010
Mailing address
PO Box 5635 Attn: Maria Mitchell, Bloomington, IN 47407

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28126400A (IN)

Registry record

NPI
1497792659
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 May 2006
Record last updated
17 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.