Provider Demographics
NPI:1245742899
Name:WOODS, DEVONNI ANNE (RN)
Entity Type:Individual
Prefix:
First Name:DEVONNI
Middle Name:ANNE
Last Name: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 1:19540 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1485
Mailing Address - Country:US
Mailing Address - Phone:216-640-0102
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1485
Practice Address - Country:US
Practice Address - Phone:216-640-0102
Practice Address - Fax:216-640-0102
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401808163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty