Provider Demographics
NPI:1548597131
Name:WOODS, NICOLE PATRICE (FNP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:PATRICE
Last Name:WOODS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 SAVANNAH TER SE APT C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-2148
Mailing Address - Country:US
Mailing Address - Phone:202-923-8068
Mailing Address - Fax:
Practice Address - Street 1:1924 SAVANNAH TER SE APT C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2148
Practice Address - Country:US
Practice Address - Phone:202-923-8068
Practice Address - Fax:202-629-2642
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185483363LF0000X
DCNP1058723363LF0000X
VA0024168544363LF0000X
TX827537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3136491-01Medicaid
TX2035487-03Medicaid
TX898N03OtherBCBS
TXTXB102731OtherMEDICARE GROUP
TX898N03OtherBCBS