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MRS. BEVERLY LYNN WOODBURY RN, CNP
NPI 1326027590
Nurse Practitioner - Gerontology in Minnetonka, MN

Active since January 16, 2006
401 CARLSON PARKWAY, MINNETONKA, MN 55305(952) 992-3637(952) 992-3039 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Beverly Lynn Woodbury Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BEVERLY LYNN WOODBURY RN, CNP (NPI 1326027590) is an individual gerontology provider in Minnetonka, Minnesota, licensed in Maryland (290710-23) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1326027590
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. BEVERLY LYNN WOODBURYCredential: RN, CNP
Location Address401 CARLSON PARKWAYMinnetonka, MN 55305-5387
Mailing Address7720 164th Ln NwAnoka, MN 55303-3560 · (763) 753-4242
Phone(952) 992-3637
Fax(952) 992-3039
Sole ProprietorYes
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1326027590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MD · 290710-23
401 CARLSON PARKWAY, Minnetonka, MN 55305
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Other Identifiers 3

Medicare UPINQ35533MN
Medicare ID-Type Unspecified500002904MN
Medicaid7632230900MN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN LEE KISSELL RN, CNP
Nurse Practitioner (Gerontology)
401 CARLSON PARKWAY
MINNETONKA, MN 55305
Hennepin County (952) 992-3612
MARY JEANNE KEITH RN, CNP
Nurse Practitioner (Gerontology)
401 CARLSON PARKWAY, CP340
MINNETONKA, MN 55305
Hennepin County (952) 992-3604
KJIRSTEN PEARSON PHARM D., RPH
Pharmacist
401 CARLSON PARKWAY, CP 474
MINNNETONKA, MN 55305
Hennepin County (952) 992-3475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Woodbury's NPI number?

The NPI number for Beverly Woodbury is 1326027590. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Beverly Woodbury located?

Beverly Woodbury practices at 401 Carlson Parkway, Minnetonka, MN 55305. The listed phone number is (952) 992-3637.

What is Beverly Woodbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Beverly Woodbury was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.