Healthcare Provider Details

I. General information

NPI: 1710961354
Provider Name (Legal Business Name): ELIZABETH J WOODS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ELIZABETH J WINNINGER

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 BIRNIE AVE SUITE 202
SPRINGFIELD MA
01107-1108
US

IV. Provider business mailing address

23 KIBBE LN
HAMPDEN MA
01036-9556
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-3470
  • Fax: 413-733-5235
Mailing address:
  • Phone: 860-500-6301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number208126
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3039
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN208126
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: