ETAN WOODRUFF LPN
NPI 1912412347
Licensed Practical Nurse in Orlando, FL

Active since December 07, 2017
1627 26TH ST, ORLANDO, FL 32805(407) 832-8346 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etan Woodruff Lpn NPPES

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

ETAN WOODRUFF LPN (NPI 1912412347) is an individual licensed practical nurse in Orlando, Florida, licensed in Florida (PN5147285) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1912412347
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameETAN WOODRUFFCredential: LPN
Location Address1627 26TH STOrlando, FL 32805-5232
Mailing Address1627 26th StOrlando, FL 32805-5232 · (407) 832-8346
Sole ProprietorYes
Enumeration DateDecember 7, 2017
NPI 1912412347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in FL · PN5147285
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1627 26TH ST, Orlando, FL 32805

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Etan Woodruff's NPI number?

The NPI number for Etan Woodruff is 1912412347. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Etan Woodruff located?

Etan Woodruff practices at 1627 26th St, Orlando, FL 32805. The listed phone number is (407) 832-8346.

What is Etan Woodruff's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Etan Woodruff was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.