Healthcare Provider Details

I. General information

NPI: 1669684262
Provider Name (Legal Business Name): VALERIE JEAN WOOD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL YAWKEY 7B
BOSTON MA
02114-2621
US

IV. Provider business mailing address

9 DEXTER LN
WAKEFIELD MA
01880-2031
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-1720
  • Fax: 617-643-1915
Mailing address:
  • Phone: 781-245-0878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number99844
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: