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General NPI Number Information
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NPI Number | 1003616467
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Entity Type | Individual
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Provider Name | KRISTEN WOODS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 1006 US HIGHWAY 23 N
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City | WEBER CITY
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State | VA
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Zip | 24290-7021
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Country | US
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Telephone | 276-225-0976
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Fax |
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Provider Business Mailing Address
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Address Line | 16293 DANDELION DR
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City | ABINGDON
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State | VA
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Zip | 24211-7329
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Country | US
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Telephone | 276-623-7837
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192960
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License Number State | VA
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