Provider Demographics
NPI:1235420209
Name:LEON-WOODS, CARON A (RN)
Entity Type:Individual
Prefix:MRS
First Name:CARON
Middle Name:A
Last Name:LEON-WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 POPLAR GROVE DR
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-2726
Mailing Address - Country:US
Mailing Address - Phone:937-304-1570
Mailing Address - Fax:
Practice Address - Street 1:487 POPLAR GROVE DR
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-2726
Practice Address - Country:US
Practice Address - Phone:937-304-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN182619163WC0200X, 163WF0300X, 163WH0500X, 163W00000X, 163WE0003X
OHRN 182619163WD1100X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WF0300XNursing Service ProvidersRegistered NurseFlight
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse