MEDICARE: MRS. ONG-DEE LIU WOODS NP, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	774794	CA
2	363LF0000X	Family Nurse Practitioner	21849	CA

General Provider Information

NPI Number	:	1316208804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ONG-DEE LIU WOODS NP, RN

Provider Business Mailing Address
First Line	:	2452 WATSON CT
Second Line	:	SUITE 1700
City	:	PALO ALTO
State	:	CA
Zip	:	94303-3216
Country	:	US
Telephone Number	:	650-723-5281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2452 WATSON CT
Second Line	:	SUITE 1700
City	:	PALO ALTO
State	:	CA
Zip	:	94303-3216
Country	:	US
Telephone Number	:	650-723-5281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	10/20/2015

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