Healthcare Provider Details

I. General information

NPI: 1942317425
Provider Name (Legal Business Name): ADRIENNE LOUISE WOODS MSN, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WILMINGTON V.A. MEDICAL CENTER 1601 KIRKWOOD HIGHWAY
WILMINGTON DE
19805
US

IV. Provider business mailing address

WILMINGTON V.A. MEDICAL CENTER 1601 KIRKWOOD HIGHWAY
WILMINGTON DE
19805
US

V. Phone/Fax

Practice location:
  • Phone: 302-994-2511
  • Fax: 302-633-5590
Mailing address:
  • Phone: 302-994-2511
  • Fax: 302-633-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLG0000142
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: