Provider Demographics
NPI:1326029000
Name:WOODS, SHERRIE SUE (RN CCM)
Entity Type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:SUE
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1680 ALAIKI ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2000
Mailing Address - Country:US
Mailing Address - Phone:808-271-4878
Mailing Address - Fax:
Practice Address - Street 1:91-1680 ALAIKI ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-2000
Practice Address - Country:US
Practice Address - Phone:808-271-4878
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN 34628171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider