Provider Demographics
NPI:1558554584
Name:WOODS, MELANIE PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:PATRICIA
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 1:1609 BERLIN STATION RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3013
Mailing Address - Country:US
Mailing Address - Phone:614-570-6293
Mailing Address - Fax:
Practice Address - Street 1:1609 BERLIN STATION RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3013
Practice Address - Country:US
Practice Address - Phone:614-570-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 302710163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse