Provider Demographics
NPI:1548597131
Name:WOODS, NICOLE PATRICE (FNP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:PATRICE
Last Name:WOODS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 GEORGIA AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3618
Mailing Address - Country:US
Mailing Address - Phone:301-585-6049
Mailing Address - Fax:301-588-7365
Practice Address - Street 1:8700 GEORGIA AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3618
Practice Address - Country:US
Practice Address - Phone:301-585-6049
Practice Address - Fax:301-588-7365
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185483363LP2300X
VA0001221655163W00000X
VA0024168544363LF0000X
TX827537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3136491-01Medicaid
TX2035487-03Medicaid
TX898N03OtherBCBS
TXTXB102731OtherMEDICARE GROUP
TX898N03OtherBCBS