Provider Demographics
NPI:1033717269
Name:WOODFIELD, NINA RAE'CHEL (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:RAE'CHEL
Last Name:WOODFIELD
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2167 W LAKEVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5813
Mailing Address - Country:US
Mailing Address - Phone:810-955-5847
Mailing Address - Fax:
Practice Address - Street 1:2167 W LAKEVIEW BLVD
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-5813
Practice Address - Country:US
Practice Address - Phone:810-955-5847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW489176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife