Healthcare Provider Details

I. General information

NPI: 1386561835
Provider Name (Legal Business Name): SHERALEE ANNE WOODS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 4TH ST APT A
WINNEMUCCA NV
89445-3076
US

IV. Provider business mailing address

10 E 4TH ST APT A
WINNEMUCCA NV
89445-3076
US

V. Phone/Fax

Practice location:
  • Phone: 406-565-7118
  • Fax:
Mailing address:
  • Phone: 406-565-7118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number20236728
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: