Healthcare Provider Details

I. General information

NPI: 1407281520
Provider Name (Legal Business Name): LAUREN WOODS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 11/24/2024
Certification Date: 11/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 WILSON BLVD FL 6
ARLINGTON VA
22209
US

IV. Provider business mailing address

6668 TEETH OF THE DOG DR
RADFORD VA
24141-5690
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 916-541-9050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024178859
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5006447
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: