Provider Demographics
NPI:1144031782
Name:WOODY, YVONNE AMANDA
Entity type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:AMANDA
Last Name:WOODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 NEWARK ST NW APT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3106
Mailing Address - Country:US
Mailing Address - Phone:202-897-9846
Mailing Address - Fax:
Practice Address - Street 1:115 FRANKLIN ST NE APT H22
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1091
Practice Address - Country:US
Practice Address - Phone:202-774-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant