Provider Demographics
NPI:1215583877
Name:WOODS, JAMES (BSN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:WOODS
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2625
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84110-2625
Mailing Address - Country:US
Mailing Address - Phone:801-996-7076
Mailing Address - Fax:801-997-6757
Practice Address - Street 1:30 E BROADWAY STE 202
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-2375
Practice Address - Country:US
Practice Address - Phone:801-996-7076
Practice Address - Fax:801-997-6757
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7431487-3102163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice