Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lois Dominique Woodside, CRNP

Individual provider Primary Care Nurse Practitioner · NPI 1811329766

Lois Dominique Woodside, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2013, 13 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3461 Civic Center Blvd
Philadelphia, PA 19104-4302
Phone: (215) 823-4526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Cooper Plz Rm 513, Camden, NJ 08103-1438 — (856) 963-3518

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN614739 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN614739 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ15452500 (NJ)

Record details

NPI number1811329766
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedAugust 2, 2013
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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