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General NPI Number Information
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NPI Number | 1295559664
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Entity Type | Individual
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Provider Name | KEVINA WOODS MSN, APRN, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1505 S. EASTERN AVENUE
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City | LAS VEGAS
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State | NV
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Zip | 89104
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Country | US
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Telephone | 702-885-0881
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 S EASTERN AVE
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City | LAS VEGAS
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State | NV
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Zip | 89104-3916
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Country | US
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Telephone | 725-204-9548
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Fax | 844-888-4250
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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 | 858165
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 858165
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License Number State | NV
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