| Nicole Branden Wooddell, CNP | |
| 
					730 W Market St Ste 2000, Lima, OH 45801-4602  | |
| (419) 996-5852 | |
| Not Available | 
| Full Name | Nicole Branden Wooddell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 730 W Market St Ste 2000, Lima, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922305044 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 350354 (Ohio) | Secondary | 
| 363LA2100X | Nurse Practitioner - Acute Care | 0033946 (Ohio) | Primary | 
| Entity Name | Premier Health Specialists Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010  | 
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole Branden Wooddell, CNP 730 W Market St Ste 2000, Lima, OH 45801-4602 Ph: (419) 996-5852  | Nicole Branden Wooddell, CNP 730 W Market St Ste 2000, Lima, OH 45801-4602 Ph: (419) 996-5852  | 
Stacy Jo Klass, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804 Phone: 419-227-5298 Fax: 419-227-5879  | |
Jocelyn Leigh Sherman, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Bellefontaine Ave Ste 245, Lima, OH 45804 Phone: 419-998-8230  | |
Logan Michael Rieman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Medical Dr Ste A, Lima, OH 45804 Phone: 419-222-6622 Fax: 419-224-0015  | |
Holly A Archer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2195 Allentown Rd, Lima, OH 45805 Phone: 419-227-2245 Fax: 419-229-1573  | |
Cassandra Baumgartner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 441 E 8th St, Lima, OH 45804 Phone: 419-221-3072  | |
Jessica A Dailey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 N Cable Rd, Lima, OH 45805 Phone: 419-228-2600 Fax: 419-228-1100  | |
Mrs. Ruth Ann Grothouse, C-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6781 Fax: 419-229-3490  |