Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lance Raymond Woody, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1699296772

Lance Raymond Woody, AGACNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22622 Oconnor St, Saint Clair Shores, MI 48080-4122 — (586) 215-7241

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704273806 (MI)

Record details

NPI number1699296772
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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