Healthcare Provider Details

I. General information

NPI: 1477095362
Provider Name (Legal Business Name): TAMIKA WOODS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-3520
  • Fax: 614-355-4439
Mailing address:
  • Phone: 614-722-3520
  • Fax: 614-355-4439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License NumberRN 299712
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: