Healthcare Provider Details

I. General information

NPI: 1699665935
Provider Name (Legal Business Name): RACHEAL LEE WOOD PHD, DNP, ACCNS-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A.T. AUGUSTA MILITARY MEDICAL CENTER 9300 DEWITT LOOP
FORT BELVOIR VA
22060
US

IV. Provider business mailing address

5907 WIVENHOE CT
ALEXANDRIA VA
22315-4015
US

V. Phone/Fax

Practice location:
  • Phone: 585-746-8762
  • Fax:
Mailing address:
  • Phone: 585-746-8762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number561982
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: