Provider Demographics
NPI:1124587415
Name:DENNIS-WOODS, ANIKA SHANEA (DCW)
Entity Type:Individual
Prefix:MS
First Name:ANIKA
Middle Name:SHANEA
Last Name:DENNIS-WOODS
Suffix:
Gender:F
Credentials:DCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19329 PINEHURST ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-1423
Mailing Address - Country:US
Mailing Address - Phone:313-658-2268
Mailing Address - Fax:
Practice Address - Street 1:19329 PINEHURST ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-1423
Practice Address - Country:US
Practice Address - Phone:313-658-2268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health