Provider Demographics
NPI:1922843101
Name:WOOMER, MICHAELA (DNP, FNP-C, RN)
Entity type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:
Last Name:WOOMER
Suffix:
Gender:F
Credentials:DNP, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 HICKEL DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER
Mailing Address - State:OH
Mailing Address - Zip Code:45724-5063
Mailing Address - Country:US
Mailing Address - Phone:330-601-6374
Mailing Address - Fax:
Practice Address - Street 1:401 MATTHEW ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1635
Practice Address - Country:US
Practice Address - Phone:740-374-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0036874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily