Healthcare Provider Details

I. General information

NPI: 1245742899
Provider Name (Legal Business Name): DEVONNI ANNE WOODS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-1485
US

IV. Provider business mailing address

19540 EUCLID AVE
EUCLID OH
44117-1485
US

V. Phone/Fax

Practice location:
  • Phone: 216-640-0102
  • Fax: 216-640-0102
Mailing address:
  • Phone: 216-640-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0042808
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number401808
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: