Provider Demographics
NPI:1558481077
Name:POPE-WOODS, DENISE LYNNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LYNNE
Last Name:POPE-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 1:5660 ELGIN ROOF RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45426-1816
Mailing Address - Country:US
Mailing Address - Phone:937-660-3097
Mailing Address - Fax:937-660-3093
Practice Address - Street 1:5660 ELGIN ROOF RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45426-1816
Practice Address - Country:US
Practice Address - Phone:937-660-3097
Practice Address - Fax:937-660-3093
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN246828163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse