Provider Demographics
NPI:1255503900
Name:WOODS, BEVERLY RENEE (RN)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:RENEE
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 1:26926 W HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-3391
Mailing Address - Country:US
Mailing Address - Phone:630-267-5325
Mailing Address - Fax:815-467-0257
Practice Address - Street 1:26926 W HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-3391
Practice Address - Country:US
Practice Address - Phone:630-267-5325
Practice Address - Fax:815-467-0257
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse