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NPI Code Detail

MEDICARE: JANEEN MARIE WOODS RN

MEDICARE:   JANEEN MARIE WOODS  RN
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
1163W00000XRegistered NurseR0136114OK

General Provider Information

NPI Number : 1942886163
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANEEN MARIE WOODS RN
Provider Business Mailing Address
First Line : 973 WILLOW RIVER DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-1636
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 973 WILLOW RIVER DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-1636
Country : US
Telephone Number : 580-447-6916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2021
Last Update Date : 03/18/2021

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