MEDICARE: NICOLE PATRICE WOODS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R185483	MD
2	363LF0000X	Family Nurse Practitioner	NP1058723	DC

General Provider Information

NPI Number	:	1548597131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE PATRICE WOODS FNP

Provider Business Mailing Address
First Line	:	1924 SAVANNAH TER SE APT C
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-2148
Country	:	US
Telephone Number	:	202-923-8068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 SAVANNAH TER SE APT C
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-2148
Country	:	US
Telephone Number	:	202-923-8068
Fax Number	:	202-629-2642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	08/13/2024

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