Healthcare Provider Details

I. General information

NPI: 1336276351
Provider Name (Legal Business Name): JANEY R WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 FRANKLIN ST
DENVER CO
80205-5437
US

IV. Provider business mailing address

PO BOX 298
ROLLINSVILLE CO
80474-0298
US

V. Phone/Fax

Practice location:
  • Phone: 303-764-8526
  • Fax:
Mailing address:
  • Phone: 303-642-9156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number118064
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: